Product Description
This book has been updated to provide 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. The included CD-ROM c… More >>
#1 by D. Brown on May 15, 2010 - 1:05 pm
A must have for NP school. Great book. Thanks Amazon for providing the best prices and great services.
Rating: 5 / 5
#2 by Dr. Yuval Lirov on May 15, 2010 - 2:23 pm
Buppert’s book reflects her unique background, which combines both legal and medical training. A practicing attorney and a primary care nurse practitioner, Buppert wrote a comprehensive book for primary care practice management, including medical reimbursement, coding, billing, compliance, managed care contracts, audits, malpractice, and effective management. Her book is especially useful because it combines legal advice with practical negotiation guidelines and includes essential references, sample forms, user-friendly templates, and monitoring measures.
Buppert’s approach is pragmatic and her writing is crystal clear.
Yuval Lirov, Medical Billing Networks and Processes – Profitable and Compliant Revenue Cycle Management in the Internet Age
Rating: 5 / 5
#3 by Tanya J. Quarty on May 15, 2010 - 2:26 pm
I find this book very informative, a little dry for everyday reading but useful for me in my NP classes.
Rating: 3 / 5
#4 by D Williams on May 15, 2010 - 5:17 pm
I am a legal aid hotline attorney and own an online medical supply and equipment business. I would with a number of physician groups. I agree with the previous reviewer that this is an essential book for all medical service providers in private practice. So many physician groups fail to collect all the fees they can because they don’t have a full understanding of proper coding and billing. And, many lawsuits could be avoided and/or minimized with proper documentation. And, of coure, as any medical malpractice attorney will tell you, the best way to avoid getting sued in the first place is to communicate, clearly and frequently, with your patients. This is the kind of information they don’t teach in medical school but every physician needs to know. Successful medical practices today require so much more than just quality medical care. This books helps you figure out how to do all the rest.
Rating: 5 / 5
#5 by Melinda L. Jenkins on May 15, 2010 - 6:23 pm
Buppert’s new book is truly exceptional. She weaves together the changing worlds of health care, business, law, research, and academia in a very practical way. She has created an irreplaceable resource for any and all of you nurse practitioners, physicians, and physician’s assistants who desire to strengthen your primary care practice, or to develop a practice from scratch.
Buppert, an active attorney and primary care nurse practitioner, states in the preface that her book explains: · How to get paid the maximum appropriate reimbursement while complying with new federal coding and billing guidelines · How to negotiate managed care contracts · How to shine on managed care quality audits · How to monitor and improve medical outcomes at the practice level · How to avoid malpractice · How to save time while accomplishing all of the above.
Her book lives up to its promise by compiling many essential guidelines and references in one location. It includes both the private managed care HEDIS measures, benchmarks, and national track record and the public U.S. Bureau of Public Health’s “Put Prevention Into Practice” health guides. It provides sample forms for following patients with chronic diseases; systems and measures to track patient satisfaction and functional status; and systems to aid compliance with Medicare and other payer’s billing codes. In addition, it gives proactive legal advice on self-monitoring of documentation in order to avoid both malpractice and billing fraud liability. And, beyond this valuable information, is a chapter full of practical advice on setting up contracts with managed care organizations.
For those of us with an academic bent, additional references on quality assessment and improvement (“performance measurement”) will add to the solid foundation this book provides. Clinicians attentive to measuring outcomes of care will be well-served by the clear instructions and easy-to-use templates in the book.
Buppert, in her legal practice, has for many years promoted fair contracts between primary care providers and managed care organizations. Her advice in this book is based on real-life experience and negotiation on behalf of nurse practitioners, physicians, and physician’s assistants. You would pay more for one hour of an attorney’s time than you will for this exceedingly helpful book!
Melinda Jenkins, PhD, RN,CS; Director, Family Nurse Practitioner Program; School of Nursing, University of Pennsylvania; Philadelphia, PA 19104-6096 mjenkins@nursing.upenn.edu
Rating: 5 / 5