Medical Billing Networks and Processes - Profitable and Compliant Revenue Cycle Management in the Internet Age - Hardcover
Synopsis
Is your practice profitable and compliant? Some state-managed insurance company audits have discovered up to 30% in mishandled and wrongly denied claims. This book shows private practitioners how to automate and enable such insurance claim payment audits in real time. You' will discover how to: - Improve your cash flow and reduce audit risk using Straight-Through Processing (STP) technologies - Design and implement industrial-grade network standards for continuous billing quality improvement and compliance maintenance - Reduce operations risk and improve your balance sheet using Software as a Service (SaaS) and outsourcing Understand the rules of the modern "payer-provider conflict" and learn to apply and manage winning Internet strategies, such as the "billing network effect." Gain further insight from guest chapters by Dennis Alessi, Esq., of Mandelbaum, Salsburg, Gold, Lazris & Discenza, PC; Eric Fishman, MD, of EHR Scope; Joe Kamelgard, MD, of Billing Integration, LLC; and Erum Raza, Esq, of Fox Rothschild, LLP.
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About the Author
Yuval Lirov, PhD, is the author of Medical Billing Networks and Processes (Affinity Billing), Practicing Profitability: Billing Network Effect for Revenue Cycle Control in Healthcare Clinic and Chiropractic Office (Affinity Billing) and Mission Critical Systems Management (Prentice Hall), inventor of patents in artificial intelligence and computer security, and CEO of Vericle.net - Distributed Practice Management and Medical Billing Network Technologies. Lirov earned his doctorate in systems science and mathematics under the guidance of Professor E. Y. Rodin at Washington University in St. Louis.
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Medical Billing Networks and Processes - Profitable and Compliant Revenue Cycle Management in the Internet Age
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MEDICAL BILLING NETWORKS & PRO
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