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Administration & Policy


The Fasciae: Anatomy, Dysfunction and Treatment

The Fasciae: Anatomy, Dysfunction and Treatment Lowest new price: $44.00
Lowest used price: $40.13
List price: $49.95
Author: Serge Paoletti

The fasciae comprise a wide variety of body tissues including the membranes, ligaments, tendons, and mesenteries. These tissues are all derived from the mesoderm, which undergoes coiling or rolling movements during embryonic development. This is the origin of the inherent micromovements, or motility, that are so important in many osteopathic approaches to diagnosis and treatment. The fasciae are found at every level of the body and constitute a basic element of human physiology. They serve as the body's first line of defense, acting independently of the central nervous system, which is why they are referred to as a peripheral brain. From a mechanical point of view, the fasciae are organized in chains to defend the body against restrictions. When a restriction goes beyond a specific threshold, the fasciae respond by modifying their viscoelasticity, changing the collagenic fibers, and transforming healthy fascial chains into lesional chains. The fasciae keep a record of every trauma that causes a change in motility. Through the sensitivity of trained hands, we are able to perceive movements on a microlevel and can thus detect motility disturbances, which reveal the medical history of a patient. Remedial techniques, adapted to each patient, can restore normal motility. In this way, fascial disturbances can be overcome, allowing the body to recover its normal physiological functions. For this reason, we can say that the health of every person is reflected in large part in the fasciae. The Fasciae: Anatomy, Dysfunction and Treatment is the first book to organize the wealth of available information concerning fascial tissues from the fields of embryology, anatomy, histology, and pathology. It describes the roles and mechanisms of the fasciae, and details appropriate testing and treatment techniques. The book is richly illustrated with color and black and white drawings.

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Compliance for Coding, Billing & Reimbursement, 2nd Edition: A Systematic Approach to Developing a Comprehensive Program

Compliance for Coding, Billing & Reimbursement, 2nd Edition: A Systematic Approach to Developing a Comprehensive Program Lowest new price: $89.43
Lowest used price: $30.38
List price: $99.95
Author: Duane C. Abbey

While the vast majority of providers never intend to commit fraud or file false claims, complex procedures, changing regulations, and evolving technology make it nearly impossible to avoid billing errors. For example, if you play by HIPAA’s rules, a physician is a provider; however, Medicare requires that the same physician must be referred to as a supplier. Even more troubling is the need to alter claims to meet specific requirements that may conflict with national standards. Far from being a benign issue, differing guidelines can lead to false claims with financial and even criminal implications.

Compliance for Coding, Billing & Reimbursement, Second Edition: A Systematic Approach to Developing a Comprehensive Program provides an organized way to deal with the complex coding, billing, and reimbursement (CBR) processes that seem to force providers to choose between being paid and being compliant. Fully revised to account for recent changes and evolving terminology, this unique and accessible resource covers statutorily based programs and contract-based relationships, as well as ways to efficiently handle those situations that do not involve formal relationships.

Based on 25 years of direct client consultation and drawing on teaching techniques developed in highly successful workshops, Duane Abbey offers a logical approach to CBR compliance. Designed to facilitate efficient reimbursements that don’t run afoul of laws and regulations, this resource –

  • Addresses the seven key elements promulgated by the OIG for any compliance program
  • Discusses numerous types of compliance issues for all type of healthcare providers
  • Offers access to online resources that provide continually updated information
  • Cuts through the morass of  terminology and acronyms with a comprehensive glossary
  • Includes a CD-ROM packed with regulations and information

In addition to offering salient information illustrated by case studies, Dr, Abbey provides healthcare providers and administrators, as well as consultants and attorneys, with the mindset and attitude required to meet this very real challenge with savvy, humor, and perseverance.


Germ Stories

Germ Stories Lowest new price: $28.79
Lowest used price: $9.49
List price: $34.00
Author: Arthur Kornberg
Brand: Brand: University Science Books

"I told my three sons stories about germs more than fifty years ago as fanciful bedtime tales." So begins this charming collection of poems written by Nobel Prize-winning scientist Arthur Kornberg to help us learn about the germs that help and harm us. These rollicking, entertaining, and informative poems have been illustrated with witty and amusing watercolors and the book also contains electron micrographs and a glossary for the child who wants to go deeper into the world of microbiology.

Features:

  • Used Book in Good Condition

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The Toyota Way to Healthcare Excellence: Increase Efficiency and Improve Quality with Lean (ACHE Management)

The Toyota Way to Healthcare Excellence: Increase Efficiency and Improve Quality with Lean (ACHE Management) Lowest new price: $7.99
Lowest used price: $6.43
List price: $83.00
Author: John R. Black
Brand: Brand: Health Administration Press

The Toyota Production System model, or Lean, is not new. It has been successfully used in manufacturing companies for decades and is now making dramatic improvements in healthcare institutions as well. This straightforward guide explains what Lean is, how it works, and how to implement the strategy at your organization. What do the production of cars and the care of patients have in common? In both cases, the goal is to deliver high-quality, error-free results. Lean is a proven strategy for providing safe, hassle-free, and cost-effective care. Learn from success stories from healthcare organizations Real-life examples illustrate how well Lean works. These accounts will help you gain a sense of what s involved in implementing Lean in healthcare. How do you get an organization to adopt Lean as its improvement strategy? How do you bring people on board? How do you put the Lean infrastructure in place? How do you even start? These stories will answer your questions about applying Lean, and perhaps most important, convey the remarkable results you can expect.

Features:

  • Used Book in Good Condition

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Workers' Compensation Practice for Paralegals

Workers' Compensation Practice for Paralegals Lowest new price: $36.60
Lowest used price: $32.99
List price: $37.00
Author: Lynne J. DeVenny
Brand: Brand: Carolina Academic Press

Workers' Compensation Practice for Paralegals is a textbook and practice guide for paralegals and other legal professionals who work in the area of workers' compensation law. The book addresses practical tasks associated with the law office management of workers' compensation cases, including an overview of workers' compensation law, determining compensable claims, evaluating and accepting cases, reviewing and summarizing medical records, investigating claims, obtaining evidence, drafting pleadings and preparing for mediations and hearings. More complex tasks, such as handling catastrophic injuries and death claims, Medicare Set-Aside Arrangements, third party claims and bankrupt defendants, are also discussed. Each chapter includes practice tips to help paralegals become proficient in the practice of workers' compensation law, as well as references to find the most up-to-date information regarding various aspects of workers' compensation practice. Sample documents are included to illustrate the kinds of documents paralegals may draft in a typical private law practice. Workers' Compensation Practice for Paralegals is unique because it is written specifically for paralegals by an attorney/paralegal team with a combination of over thirty years of practice in workers' compensation law. In addition, both authors have experience teaching law students and paralegals in college settings. Recognizing that there are excellent state-specific workers' compensation reference books for workers' compensation practitioners, this book is intended to guide and train paralegal students, paralegals and other legal professionals new to the practice of workers' compensation law. Straightforward and easy to read, it provides its readers with an overview of the essential skills necessary to perform substantive work on any workers' compensation case, as well as the tools to find the information they need to make a significant contribution to a workers' compensation practice, whether it be their own state-specific rules and forms, Medicare s current WCMSA requirements or medical references. Workers' Compensation Practice for Paralegals is not just a primary workers' compensation text, but could also be used as a supplemental civil injuries text, due to the extensive discussion in the book of the relation of medical records to the key issues of causation, treatment, diagnosis, prognosis, permanent impairment, ability to work and future medical needs in any civil injury claim, including personal injury, wrongful death, medical malpractice and nursing home negligence. Several chapters in the book teach paralegals not only how to organize, review and summarize medical records, including sample summaries, but how the medical records relate to key evidence needed to evaluate and litigate civil injury claims in private law firms. The book is intended to teach paralegals how to conduct a substantive and meaningful review of medical evidence. Much of the information in this book, including preparing for mediations and hearings, is relevant not just to workers' compensation cases, but to any civil case involving bodily or personal injuries. The authors are hoping that educators and legal professionals will agree that this book is a good one to include in their desktop reference sections, especially if they plan to work or are already working in any area of civil injury law.

Features:

  • Used Book in Good Condition

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Risk Management for Health/Fitness Professionals: Legal Issues and Strategies

Risk Management for Health/Fitness Professionals: Legal Issues and Strategies Lowest new price: $28.99
Lowest used price: $19.99
List price: $52.99
Author: JoAnn M. Eickhoff-Shemek PhD FACSM FAWHP
Brand: Brand: Lippincott Williams Wilkins

Laws and legal issues in the health and fitness arena become clear with this well-organized text. You will learn invaluable risk management strategies to promote safer programs and environments. You will discover and expand your knowledge of many legal concerns related to emergency procedures, employment, equipment, and facility issues, pre-activity health screening, fitness testing and prescription, and instruction and supervision. Real-life health/fitness case law examples provide practical and useful illustrations of negligence to help you understand and minimize your legal liability.

Features Include:

  • A first-time-ever summary of important published standards of practice from over 10 premiere health/fitness professional and independent organizations
  • Sample forms such as waivers, informed consents, and incident reports to help you understand how to protect yourself and your organization from legal liability
  • Tables and figures to help illustrate important legal and risk management concepts
  • "Put into Practice" checklists to reinforce learning and help you develop a comprehensive risk management plan
  • Risk Management Assignments to teach you the action steps for providing a reasonably safer program and environment for participants
  • A Risk Management Pyramid summarizing the text and highlighting seven lines of defense to protect yourself and your organization from negligence

Online resources include an electronic version of the book and downloadable forms contained in this book.

Features:

  • Used Book in Good Condition

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Board Work: Governing Health Care Organizations

Board Work: Governing Health Care Organizations Lowest new price: $12.99
Lowest used price: $0.29
List price: $75.00
Author: James E. Orlikoff
Brand: Brand: Jossey-Bass

American College of Healthcare Executives 2000 James A. Hamilton book of the year award

Written by Dennis Pointer and James Orlikoff, two of the most experienced and highly regarded governance consultants in the country, Board Work presents a practical model focusing on those factors that most affect board performance. Rich with prescriptive information, practical ideas, assessment tools, and examples, Pointer and Orlikoff provide the expert coaching boards need to do their best work and add value to their organizations.

Based on the authors' forty years of combined experience, this eye-opening book arms boards with tools and techniques to significantly enhance their performance and contributions. Pointer and Orlikoff forward concrete recommendations for implementing benchmark governance systems and practices, creating the essential guide for those who want to make a real difference on behalf of communities they serve.

"This is the best book on health care organization governance I have ever read."
--Stephen Shortell, Blue Cross of California Distinguished Professor of Health Policy and Management, University of California, Berkeley

Features:

  • Used Book in Good Condition

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Who Killed Health Care?: America's $2 Trillion Medical Problem - and the Consumer-Driven Cure

Who Killed Health Care?: America's $2 Trillion Medical Problem - and the Consumer-Driven Cure Lowest new price: $4.94
Lowest used price: $1.91
List price: $32.00
Author: Regina Herzlinger
Brand: Regina E Herzlinger

In the battle for U.S. health care, patients and doctors are losing.

Who Killed Health Care? shows how to win the war.

One of the nation's most respected health care analysts, Regina Herzlinger exposes the motives and methods of those who have crippled America's health care system-figures in the insurance, hospital, employment, governmental, and academic sectors. She proves how our current system, which is organized around payers and providers rather than the needs of its users, is dangerously eroding patient welfare and is pushing costs out of the reach of millions.

Who Killed Health Care? then outlines Herzlinger's bold new plan for a consumer-driven system that will deliver affordable, high-quality care to everyone. By putting insurance money in the hands of patients, removing the middleman in the doctor-patient relationship, and giving employers cost relief, consumers and physicians will be empowered to make the system work the way it should. Herzlinger describes in precise detail how her innovative program will provide

  • Smaller, disease-focused medical facilities that provide complete care for patients
  • A national system of medical records that provides privacy with confidential access by approved practitioners
  • Mandatory performance evaluations of all hospitals and all other medical organizations
  • Mandatory health insurance with subsidies for those who cannot afford it

Who Killed Health Care? is a call to arms that must be answered; the welfare of every American hangs in the balance.

“A brilliant analysis… A must-read.” – Bill George, Professor, Harvard Business School and Former CEO of Medtronic

“As it becomes more and more obvious to everyone that our current health care system is unsustainable, this is the book that had to be written.” – Daniel H. Johnson, Jr. MD, former president of the American Medical Association

“Regina Herzlinger’s ideas to tackle the crisis of the U.S. health care system are based on keen knowledge of the system’s existing difficulties along with insights that introduce the reader to new streamlined choices that have the potential of getting both quantity and cost under control.” – Joseph Kennedy, founder, chairman, and president, Citizens Energy Corporation, CEO, Citizens Health Care, former representative (D-Mass)

“Regina Herzlinger… offers a vision of the way things can be, should be, and will be sooner or later. The only question is: how long do we have to wait?” – Greg Scandlen, founder, Consumers for Health Choices

“Regi Herzlinger has brilliantly articulated a better way – embracing the principles of competition and innovation that cause every other sector of our economy to thrive. Discharging American health care from the ICU can only happen by putting individual Americans – not politicians and bureaucrats – back in charge of their health care decisioins.” – U.S. Senator Tom Coburn (R-Okla), M.D.

“Following on the heels of her landmark Market-Driven Health Care, Herzlinger lays it on the line with her expose of what many who work in the health care industry have felt in their gut. Now it is articulated in an entertaining and must-read portrayal, with you and me as the only way out.” – Dennis White, executive vice president for strategic development, National Business Coalition on Health

“A wonderful Orwellian romp through issues which carry a deadly irony. The killers of health care are, of course, the third parties, each of which has an itchy palm and a commitment to profit or power which exceeds the commitment to service, with each engaging the others within a politically shaped box. Rarely has the case for the public been made with so much force, foresight, and wit, and a better way forward shown so clearly.” – James F. Fries, MD, Professor of Medicine, Stanford University School of Medicine

“You can practically hear the war chants as Professor Herzlinger sets out her view of what’s wrong with the health care system and how to fix it. You’d best read it so you can decide which side you will be on when the battle is joined.” – Paul Levy, CEO, Beth Israel Hospital, Boston, MA

“Regina Herzlinger, the nation’s leading expert on consumer-driven health care, has given us a brilliant analysis of the flaws in our health care system and what it will take to get it back on track. Her latest book is a must-read.” – Bill George, Professor of Management Practice, Harvard Business School, Former CEO, Medtronic, and author of Authentic Leadership

“You don’t have to agree with her diagnosis and prescription for the U.S. health care system, but you do have to read her book. Once again, Professor Herzlinger has put together a well researched, well written, and very provocative blueprint for the future of health care.” Peter L. Slavin, MD, President, Massachusetts General Hospital

Features:

  • Who Killed Health Care America s 2 Trillion Medical Problem and the Consumer Driven Cure

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Injury and Violence Prevention: Behavioral Science Theories, Methods, and Applications

Injury and Violence Prevention: Behavioral Science Theories, Methods, and Applications Lowest new price: $35.00
Lowest used price: $5.99
List price: $90.00
Brand: Brand: Jossey-Bass

Injury and Violence Prevention: Behavioral Science Theories, Methods, and Applications is a cutting-edge volume that provides a comprehensive understanding of injury and violence prevention. This detailed resource draws on the breadth and depth of many scientific disciplines and public health practice experiences. Written by internationally renowned experts in the field, Injury and Violence Prevention emphasizes the specific theories, methods, and applications that make behavioral science approaches relevant and central to reducing injury-related harm. The book covers a wide range of topics, including the most frequently used behavior change theories and models and shows how they have been¾or could be¾applied to injury problems, the most commonly used research methods for understanding and influencing behavior change, behavior change issues for specific injury topic areas, and   a variety of cross-cutting issues important to the field.

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  • Used Book in Good Condition

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Healthcare Financial Operations Manual for Independent Practice Associations

Healthcare Financial Operations Manual for Independent Practice Associations Lowest used price: $699.00
List price: $125.00
Author: James W. Karling

Only recently, the physician setting up his own practice was considered an anachronism. And doctors loosely affiliated with an independent practice association (IPA) fared no better. Lacking capital, financial management, and the mechanisms for adequate medical and information system management, many IPAs around the country were coping with financial instability. From the outset, IPAs seemed doomed to obsolescence by the organizational efficiencies and superior resources of third-party payors. Yet, in the early 1990s, IPAs underwent a remarkable turnaround?building infrastructure, investing in MIS systems, and accepting risk?transforming themselves into genuine competitors in healthcare quality and efficiency with HMOs. In fact, IPAs have become an increasingly common healthcare delivery model, offering distinct advantages over other payors to physicians interested in the administrative gains and security of a group practice, while still retaining their autonomy. Healthcare Financial Operations Manual for Independent Practice Associations is the first comprehensive guide to setting up an IPA, detailing the many operational, legal, and logistical complexities of managing a physician-owned organization. Since controlling the financial and tax aspects of an IPA is critical to its survival, the Manual addresses an entire range of financial accounting concerns, including accounting concepts and methods for an IPA, internal control procedures, insurance issues, tax issues, policy guidance, and profit-making issues. Specific topics addressed include:

  • How to manage and report primary, specialty, and inpatient care
  • How to credential IPA providers
  • How to negotiate contracts for single specialty and multispecialty IPAs
  • Antitrust laws and IPAs?with a case study of a Florida IPA
  • Why IPAs fail

The book also clearly outlines how to acquire and negotiate a managed care contract and, with the help of its disk, provides a host of checklists, forms, and five sample contracts (not included in the book) that allow the user to chart his or her progress and get quickly up to speed on the essential paperwork. The Manual also provides hands-on advice on setting up an efficient computer system for an IPA, reflecting the acknowledged role of a first-rate information system in an IPA?s success. Offering candid, real-world guidance on setting up and successfully administering an IPA, Healthcare Financial Operations Manual for Independent Practice Associations is the complete reference to making an IPA work?for both doctor and patient. JAMES W. KARLING, CPA, is founder and President of Karling & Associates, an eighteen-person CPA firm located in San Ramon, California, which specializes in providing consulting and accounting services to the healthcare and managed care industry. Prior to founding Karling & Associates in 1994, Jim was a partner for eighteen years with Ernst & Young and has also been National Director of Arthur Young & Company?s healthcare practice. He has been a frequent speaker at healthcare programs and seminars and has published a number of articles on healthcare financial issues. REED TINSLEY, CPA, is director of Horne CPA Group?s Physician Services Division. His entire practice is centered in the healthcare industry and he works closely with physicians, medical systems, and other delivery systems with managed care contracting issues. A leading speaker on a variety of healthcare topics, his seminars have been sponsored by the American Medical Association. He is cochair of the CPA section of the IPA Association of America and the author of Performing an Operational and Strategic Assessment of a Medical Practice and Valuation of a Medical Practice, also from Wiley. JOE D. HAVENS, CPA, is shareholder in charge of the Horne CPA Group?s Hattiesburg, Mississippi, office and a member of its board of directors. He heads a team of healthcare consultants to physicians, medical groups, IPAs, hospitals, and managed care organizations as they develop strategies for healthcare reform. Havens also recently completed a five-part video series on healthcare subjects sponsored by Westcott Communications that is being promoted nationally to CPAs, consultants, and healthcare professionals. He coauthored the IPA Association of America?s Financial Accounting Manual for IPAs.

The IPA finally comes of age?in the first comprehensive guide to successfully managing one

In only a few short years, independent practice associations (IPAs) have been able to transform themselves?shedding their image as a healthcare delivery system ranking a distant second to HMOs. Revitalized with a new infrastructure, improved medical management and information systems, and forms of risk assumption, the IPA is suddenly marketable. Expanded geographic coverage, lower overhead, and a wide range of specialties are only part of the reason. Its other advantages?practical and administrative?are detailed in the first comprehensive guide to setting one up and making it work: Healthcare Financial Operations Manual for Independent Practice Associations. Focusing largely on survival issues, the Manual addresses a host of key financial accounting concerns, including accounting concepts and methods for an IPA, internal control procedures, insurance issues, tax issues, policy guidance, and profit-making issues, including such specifics as:

  • Management tools and reporting for primary, specialty, and inpatient care
  • Credentialing IPA providers
  • Risk pool accounting and auditing

Also clearly outlined are tips on how to acquire and negotiate a managed care contract (for both single specialty and multispecialty IPAs) as well as hands-on advice on setting up an efficient, first-rate claims payment system. And the book?s disk provides a complete package of checklists, forms, and five sample contracts (not included in the book) essential to managing an IPA. The book also includes a summary "Physician and IPA Toolkit" appendix, offers cautionary advice on why IPAs fail, and describes the current status of antitrust laws and IPAs. Healthcare Financial Operations Manual for Independent Practice Associations is a complete primer to setting up what is now one of the most efficient and cost-effective healthcare delivery systems available, one that meets the bottom-line needs of both doctor and patient.


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