- Shopping Bag ( 0 items )
Doody's Review ServiceReviewer: Nancy A. Johnson, R.N., C., M.S.N., W.H.N.P.(Texas Tech University Health Sciences Center)
Description: This book contains an almost overwhelming set of guidelines for primary care providers to accomplish the difficult task of keeping up with the rules and regulations applicable to healthcare services in today's environment. The uniqueness of this book lurks in the appendix with the checklist documentation forms section. This second edition follows the original book published in 2000.
Purpose: The purpose is to assist primary care providers with needed information in order to pass quality audits and payment audits. The objectives cover issues which provide worthwhile steps for coding, billing, managing contracts, excelling in managed care audits, improving medical outcomes, avoiding malpractice legal pitfalls, and saving time with performance measures. The author meets the objectives with the topics covered and especially the chapter 13 forms.
Audience: This book is written for students, residents, and practitioners in primary care practices. The author clearly states the book is targeted to primary care providers so they can breeze through quality audits and payment audits. The author is a nurse practitioner and an attorney who specializes in legal issues affecting healthcare providers.
Features: The book presents benchmark criteria, outcome measures, tracking information, malpractice issues, reimbursement methodologies for billing, and maximizing payments for primary care. The appendix is loaded with documentation forms that address consistent guidelines for users throughout the United States. The unique feature of this book is the use of consistent guidelines that can be applied as a uniform system of assessment across the nation. The use of the forms would reduce legal pitfalls in healthcare delivery. Lack of color and illustrations are the major shortcomings of the book.
Assessment: Overall, this book offers useful and informative guidelines for primary care providers. It is truly an exceptional book for healthcare providers, and one of a kind written by a nurse practitioner attorney whose judgment is trustworthy. Because of frequent legislative changes that result in legal pitfalls and inadequate reimbursement, this second edition is justified in replacing the 2000 publication.