Health Care Financial Management for Nurse Managers: Applications in hospitals, long-term care, home care, and ambulatory careJones & Bartlett Learning, 2005 - 419 pages This text applies financial concepts to various health care settings, details how reimbursement varies between these settings, and teaches nurse managers how to effectively manage financial data specific to each setting. The chapters on long-term care explain the Resident Assessment Instrument (RAI), including the Minimum Data Set (MDS), as well as how to best manage long term care resources. The home care chapters explore how home care is financed, and how to administrate financial resources in a home health agency. In the chapters on ambulatory care, the text discusses the ins and outs of reimbursement in primary care. |
Contents
Hospital Issues | 1 |
Reimbursement Issues | 15 |
What Things Impact the Bottom Line for Hospitals? | 24 |
Discharge Planning and Retrospective Review | 51 |
What Is Benchmarking? | 57 |
Other Evaluation MeasuresQuality TQM CQI QI and | 64 |
HIP What? | 76 |
3 | 117 |
58 | 288 |
Managing Resources | 291 |
60 | 298 |
Budget Types | 299 |
Expenses | 307 |
Defending Your Budget | 317 |
Ambulatory Care Issues | 323 |
62 | 329 |
Nursing Hours per Patient | 127 |
Developing a Core Staffing Plan | 133 |
Smith ND MSN RN CNAA | 157 |
Developing the Variable and Fixed Salary Budget | 164 |
Comments Related to the Variable Salary Budgets | 171 |
References | 177 |
Avoidable or Unavoidable Issues | 197 |
The Current 44 RUGIII Categories | 230 |
Implications for Nurse Administrators | 238 |
An Interdisciplinary Approach to the MDS | 243 |
51 | 245 |
55 | 257 |
Home Care Issues | 271 |
56 | 278 |
Administrative Operations | 335 |
Key Points Regarding Current Procedural Terminology CPT | 341 |
Diagnosis Coding with ICD9CM | 348 |
Appendix | 356 |
Appendix | 363 |
Managing ResourcesBudgeting in Ambulatory Care | 371 |
Charges and Costing Out of Services | 387 |
Understanding the Budget Sheet | 395 |
| 401 | |
| 402 | |
| 410 | |
| 414 | |
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Common terms and phrases
actual acuity ADL score admission and/or areas average Balanced Scorecard behavior benchmarking billing budget calculated census Centers for Medicare changes clinical codes cognitive completed cost Current Procedural Terminology daily determine developed diagnosis documentation employee example Exhibit expenses federal HCPCS Health Care Financing Healthcare HIPAA home care home health agencies hospital identified increase inpatient Joan D last 7 days long-term care facility MDS assessment MDS data Medicaid Medicaid Services Medicare Medicare and Medicaid ment Minimum Data Set needs NHPPD nurse administrator nurse manager nurse practitioners nursing home Nursing Rehab OMRA organization patient days payer percent physician procedures prospective payment system receive referred rehabilitation Resident Assessment resident's revenue RUG level RUG-III rural salary shift specific staff supplies survey team members therapy tion Total treatment unit variable variance visits