Primary Care Provider's Guide to Compensation and Quality: How to Get Paid and Not Get Sued / Edition 1by Carolyn Buppert
Pub. Date: 03/14/2003
Publisher: Aspen Law & Business
This book provides practical advice for primary care providers (PCPs) about major trends that have emerged over the past five years, such as growing patient enrollment in managed care health plans, performance evaluation of PCPs by outside agencies, and the dramatic increase in billing being audited. This book links quality and reimbursement issues, using a systems approach that clinicians may incorporate into their practice. Customizable forms on disk include checklist progress note forms for the 20 most common primary care diagnoses and checklists of 20 primary care tasks for HEDIS measurements.
Table of ContentsContents: Measuring performance in Primary Care * Systems for Meeting Benchmarks for Screening and Health Maintenance * Measuring Outcomes in Primary Care * Systems for Measuring Outcomes at the Practice Level * Systems for Measuring and Tracking Patient Satisfaction * Malpractice: the Ultimate Failure in Quality * Systems for Avoiding Malpractice * Reimbursement for Primary Care * What is Fraud and Abuse in Billing? * Systems for Complying with Requirements of Medicare and Other Payers * How to Contract with Managed Care Organizations * How to Maximize Reimbursement
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