Essentials of Health Care Finance

by William O. Cleverley

Paper Book, 1986

Status

Available

Call number

ISMC Library - W 74 C635e 1986

Publication

Rockville, Md. : Aspen Publishers, 2nd edition

ISBN

9780871893741

Description

This book stands firmly in its place as the leading textbook in its coverage of health care finance. No other text so completely blends the best of current finance theory with the tools needed in day-to- day practice.

Local notes

CONTENTS:
Financial Information and the Decision-Making Process -- Information and Decision Making -- Uses and Users of Financial Information -- Financial Organization -- Forms of Business Organization -- Financial Environment of Health Care Organizations -- Financial Viability -- Sources of Operating Revenue -- Health Care Payment Systems -- Medicare Benefits -- Medicare Payment: Hospital Inpatient -- Medicare Payment: Physicians -- Medicare Payment: Hospital Outpatient -- Medicare Payment: Skilled Nursing Facilities -- Medicare Payment: Home Health Agencies -- Sample UB-92 Form and Sample CMS-1500 Form -- List of Diagnosis-Related Groups (DRGs), Relative Weights, and Number of Medicare Discharges in Fiscal Year 2000 -- Legal and Regulatory Environment -- Compliance and Fraud and Abuse -- Antitrust Issues -- Federal Enforcement Actions -- Health Insurance Portability and Accountability Act -- Safe Harbor/Anti-Kickback Regulations -- Management Responsibility for Compliance -- Managed Care -- Health Maintenance Organizations and Managed Care Development -- Integrated Delivery Systems -- Paying Providers in a Managed Care Environment -- Setting Prices in Capitated Contracts -- Medicare and Medicaid Risk Contracts -- Managed Care Contract Negotiation -- Legal and Regulatory Issues -- General Principles of Accounting -- Financial versus Managerial Accounting -- Principles of Accounting -- Conventions of Accounting -- Financial Statements -- Organizational Structure -- Balance Sheet -- Statement of Revenues and Expenses.
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