From A to Ziesemer, Medical Office Management and Technology is the text to help student's navigate through their medical office management courses, whether as part of a health information technology, medical administration, or any other allied health program. This text starts at the beginning, with an introduction to new students not familiar with this topic, and works thorugh even the most advanced topics in medical office management. With a special focus on leadership, and a logical progression through the topics, this has the makings of a faculty member's most trusted resource for this course.
- Learning Outcomes at the beginning of each chapter guide both students and instructors to the material in the chapter and help to prepare you for the information provided.
- Leadership Boxes highlight leadership concepts and how they relate to medical office management.
- Case Studies provide real-world examples throughout the text to illustrate key concepts.
- Video Clips feature scenarios related to the case studies and are included on thePoint Web site.
- Key Terms appear at the beginning of each chapter and are highlighted throughout the text with definitions in the margin.
- Tips illustrate a best-practice approach for a management task.
- Chapter Review Questions appear at the end of each chapter and challenge students to use critical thinking to recall concepts and theories learned in each chapter.
- Workbook Activities are included at the end of each chapter to allow students to apply the management principles that they have learned.
- Glossary lists terms and definitions at the end of the text.
- Appendix includes forms frequently used by medical office managers.
Table of Contents
Chapter 1 The Basics of Todayâ€™s Medical Offices Overview Goals of a Medical Practice The Flow of Work in a Modern Medical Office The Most Common Positions on the Medical Office Team The Relationship Between Physicians and the Office Administrator External Forces Influencing the Practice Workbook Chapter 2 The Application of Classic Management Principles in a Modern Medical Office Overview The Planning Function of Management Utilizing a Balanced Score Card for Strategic Planning The Organizing Function of Management The Leading or Coaching Function of Management The Controlling Function of Management The Budget, Both a Controlling and a Planning Tool Workbook Chapter 3 Leading the Medical Office Team Overview The Game Plan Recruiting and Hiring the Right Players New Team Member Orientation and Handbook Training, Retaining and Motivating a Team of Champions Coaching, Corrective Action, and Discipline Workbook Chapter 4 Managing the Team Players Overview Employment Laws The Occupational Safety and Health Act (OSHA) Performance Appraisals Compensation, Benefits and Payroll Workbook Chapter 5 Managing Third Party Payers Overview Basic Concepts and Terminology Regarding Third Party Payers Medicare and Medicaid Commercial Health Insurance Managed Care Health Reform Workbook Chapter 6 Managing the Revenue Cycle and the Financial Health of the Practice Overview Step 1: Patient Registration, Patient Check-in, Clinical Encounter and Check-out Step 2: Correct Coding and Billing Step 3: Claims Generation and Transmittal Claims Clearinghouses Step 4: Processing Payments and Coordination of Benefits Step 5: Preparation and Transmittal of Patient Statements Step 6: Collections and Finalizing Payments Denial Management, Appeals, Refunds and ERISA Managing Additional Financial Aspects of the Practice Workbook Chapter 7 Managing Quality and Performance Improvement Overview Total Quality Management and Performance Improvement Performance Assessment and Improvement Methods and Tools Assessment and Improvement of Clinical Performance and Patient Safety The Physician Quality Reporting Initiative (PQRI) and Pay for Performance (P4P) Assessment and Improvement of Non-Clinical Performance Utilization Management from a Quality Perspective Risk Management from a Quality Perspective Workbook Chapter 8 Customer Service, Patient Loyalty and Marketing Overview First Impressions – Telephone Etiquette and Procedures Face-to-Face With the Patient The Waiting Game Patient Education and Follow-Up Other Customers – Internal and External Measuring Patient Loyalty Marketing and Growing the Practice Workbook Chapter 9 Managing the Legal Aspects of Health Information Overview Compliance with HIPAA Compliance with Fraud and Abuse Regulations The Red Flag Rule The Legally Sound Medical Record Workbook Chapter 10 Managing Health Information Technology Overview Electronic Health Records Integrated Practice Management Systems Interoperability: Health Information Organizations and the Nationwide Health Information Network Secure Messaging Patient Portals Workbook Chapter 11 Managing Non-Routine Physician Tasks, Interacting with other Health Facilities, and Tracking Emerging Trends Overview Physician Credentialing CMS Provider Enrollment, Chain and Ownership System (PECOS) Physician Schedules and Events Implementing HIPAA Transaction Updates (5010) and ICD-10 Workbook Appendix: Forms Commonly Used by Medical Office Managers Glossary