Guidebook to Managed Care and Practice Management Terminology: 1st Edition (Hardback) book cover

Guidebook to Managed Care and Practice Management Terminology

1st Edition

By William Winston, Norman Winegar, Michelle Hayter

Routledge

86 pages

Purchasing Options:$ = USD
Hardback: 9780789004475
pub: 1998-07-17
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Description

In Guidebook to Managed Care and Practice Management Terminology, you’ll join the students, practitioners, clients, and patients who are currently bewildered by an array of acronyms, terms, and concepts associated with today’s managed care-dominated practice environment. You’ll learn to master the jargon, terminology, and concepts necessary for successful patient and practice advocacy. No longer will you be befuddled when someone mentions “ancillary care,” “retrospective ratings,” or “subrogation.” Instead, you’ll achieve rapid fluency with words like “attestation” and “sentinel diagnosis” as well as an entire lexicon of technical language that will help you stay in control of your health care situation, whether it’s professional or personal.

Guidebook to Managed Care and Practice Management Terminology is put together in a handy and readable format, and its contents are pertinent and comprehensive. The terms and words you’ll find succinctly and accurately defined in it will aid anyone interested in pursuing a career in clinical practice or employee assistance programs. Its easy-to-access, alphabetized format will help you contract with managed care organizations, insurers, EAP companies, HMOs, and employers, and you’ll find its contents will help you have more successful interfaces with managed care case managers, provider relations staff, and quality managers. Specifically, you’ll get vital help with:

  • financial terms and reimbursement related items
  • practice management and office management nomenclature
  • quality management and tax outcomes
  • terms about various contractual arrangements
  • basic managed care terms

    Are you profoundly puzzled when you hear someone talking about “predetermination” and are afraid to admit it? Well, be afraid no longer. Here, inside Guidebook to Managed Care and Practice Management Terminology, you’ll find a convenient and accessible list of terms and words that every patient, student, and professional in social work, psychology, counseling, health care administration, and nursing should know. And, before you know it, you’ll find you’re managing the unmanageable.

Table of Contents

Contents Preface

  • Acknowledgments
  • Introduction
  • Clinical Terms and Concepts
  • Financial Terms and Concepts
  • Practice Management Terms and Concepts
  • Quality Management and Utilization Review Terms and Concepts
  • Appendix: Health Information Resources
  • Directory of MCO Quality Oversight Organizations

Subject Categories

BISAC Subject Codes/Headings:
BUS000000
BUSINESS & ECONOMICS / General
BUS030000
BUSINESS & ECONOMICS / Human Resources & Personnel Management
MED000000
MEDICAL / General