Posted on March 6th, 2010 by Insurance Product Reviews
Healthcare Payment Systems: An Introduction

The skill levels of financial workers can vary as much as those of medical personnel, and the impact that these workers have on the viability, let alone profitability and efficient running, of any hospital, medical practice or facility is quite profound. The common belief now is that the multitude of payment systems that every medical practitioner must access, with their diverse procedures and hundreds if not thousands of medical codes, are scarcely manageable. However, with the right knowledge and the right approach, you can turn a system that controls you into one that you control.
Healthcare Payment Systems: An Introduction provides a complete introduction to healthcare payment systems. Written by Duane Abbey, one of the nation’s leading experts and most sought out consultants in payment systems, this volume makes the monumental task of medical reimbursement approachable and manageable. Covering all the fundamentals and terminology needed to understand this discipline, and the insight and strategies needed to master it, Dr. Abbey —
- Provides a detailed understanding of the differences among healthcare payment systems
- Shows you the best ways to categorize specific third-party payer requirements
- Explains what you need to know about Medicare’s use of different payment systems
- Gives you the understanding needed to negotiate better contractual arrangements
This self-contained guide is more than a reference. It provides an overview and discussion of topics that one must understand to optimize usage of various systems. Ultimately, it will help you begin to develop the solid core of skills and knowledge needed to confidently approach payment systems as tools to use rather than hazards to avoid — tools that will lead to improved revenue cycles and higher levels of profitability.
This book is the first in Dr. Abbey’s Healthcare Payment System Series from Productivity Press. Look for future books in the series covering a variety of service-specific payment systems for physicians, hospitals, and specialized programs.
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Posted on March 5th, 2010 by Insurance Product Reviews
Posted on March 5th, 2010 by Insurance Product Reviews
Managing Energy Risk: An Integrated View on Power and Other Energy Markets (The Wiley Finance Series)

Mathematical techniques for trading and risk management.
Managing Energy Risk closes the gap between modern techniques from financial mathematics and the practical implementation for trading and risk management. It takes a multi-commodity approach that covers the mutual influences of the markets for fuels, emission certificates, and power. It includes many practical examples and covers methods from financial mathematics as well as economics and energy-related models.
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Posted on March 4th, 2010 by webmaster@technorati.com
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Posted on March 4th, 2010 by Insurance Product Reviews
National Health Insurance in the United States and Canada: Race, Territory, and the Roots of Difference (American Governance and Public Policy)

After World War II, the United States and Canada, two countries that were very similar in many ways, struck out on radically divergent paths to public health insurance. Canada developed a universal single-payer system of national health care, while the United States opted for a dual system that combines public health insurance for low-income and senior residents with private, primarily employer-provided health insurance - or no insurance - for everyone else.In “National Health Insurance in the United States and Canada”, Gerard W. Boychuk probes the historical development of health care in each country, honing in on the most distinctive social and political aspects of each country - the politics of race in the U.S. and territorial politics in Canada especially the tensions between the national government and the province of Quebec. In addition to the politics of race and territory, Boychuk sifts through the numerous factors shaping health policy, including national values, political culture and institutions, the power of special interests, and the impact of strategic choices made at critical junctures. Drawing on historical archives, oral histories, and public opinion data, he presents a nuanced and thoughtful analysis of the evolution of the two systems, compares them as they exist today, and reflects on how each is poised to meet the challenges of the future.
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