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Doody's Review ServiceReviewer: Sara M. Larch, MS, FACMPE (University of Maryland School of Medicine)
Description: This book provides an overall assessment approach to billing and collection performance and then focuses on specific areas such as patient collections and insurance collections.
Purpose: It was "written to provide analytical tools and systematic review processes." Although the book successfully offers a systematic review process, it is bit too light on the analytical tools. It describes where to obtain benchmark data but offers little data.
Audience: The book is written for physicians and their practice administrators. The authors have a lot of experience in this field.
Features: The chapter on patient collections is very good and includes helpful information on high deductible plans (HSAs, HRAs, etc.), which are a new challenge to most medical groups. The glossary is comprehensive and would be an excellent resource even if separated from the book. An appendix outlines the prompt pay statutes for each state. The book comes with a CD-ROM with seven forms in a Word format, but there are no instructions on how to use it.
Assessment: The book provides an excellent assessment process for physicians to use to evaluate their billing and collection operations. Some recommendations need more detailed information. Physicians will know which questions to ask their practice administrators, but may not have enough detail to actually complete the assessment on their own. Practice administrators will find this a helpful book to ensure they are keeping their eye on the key billing and collection functions and will encourage them to do more inquiry into their operations. Some professionals new to the field will know what to do next, but will need to spend considerably more time to complete the assessment. Other books in the field provide more benchmarking data to facilitate performance comparisons and often include template billing policies.