Cover image for Guidebook to managed care and practice management terminology
Guidebook to managed care and practice management terminology
Winegar, Norman.
Personal Author:
Publication Information:
New York : Haworth Press, [1998]

Physical Description:
ix, 86 pages ; 23 cm.
Added Author:
Format :


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Material Type
Home Location
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RA413 .W48 1998 Adult Non-Fiction Central Closed Stacks

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In Guidebook to Managed Care and Practice Management Terminology, you¿ll join the students, practitioners, clients, and patients who are currently bewildered by an array of acronyms, terms, and concepts associated with today¿s managed care-dominated practice environment. You¿ll learn to master the jargon, terminology, and concepts necessary for successful patient and practice advocacy. No longer will you be befuddled when someone mentions "ancillary care," "retrospective ratings," or "subrogation." Instead, you¿ll achieve rapid fluency with words like "attestation" and "sentinel diagnosis" as well as an entire lexicon of technical language that will help you stay in control of your health care situation, whether it¿s professional or personal.

Guidebook to Managed Care and Practice Management Terminology is put together in a handy and readable format, and its contents are pertinent and comprehensive. The terms and words you¿ll find succinctly and accurately defined in it will aid anyone interested in pursuing a career in clinical practice or employee assistance programs. Its easy-to-access, alphabetized format will help you contract with managed care organizations, insurers, EAP companies, HMOs, and employers, and you¿ll find its contents will help you have more successful interfaces with managed care case managers, provider relations staff, and quality managers. Specifically, you¿ll get vital help with: financial terms and reimbursement related items practice management and office management nomenclature quality management and tax outcomes terms about various contractual arrangements basic managed care terms

Are you profoundly puzzled when you hear someone talking about "predetermination" and are afraid to admit it? Well, be afraid no longer. Here, inside Guidebook to Managed Care and Practice Management Terminology, you¿ll find a convenient and accessible list of terms and words that every patient, student, and professional in social work, psychology, counseling, health care administration, and nursing should know. And, before you know it, you¿ll find you¿re managing the unmanageable.

Reviews 1

Choice Review

The industrialization of the US healthcare system, an effect of the managed care revolution, has caused confusion and stress for patients, healthcare providers, and the rest of the population. A new language has come into being related to this revolution. It is now a necessity to be familiar with this language, the vocabulary of which makes accessible the merging worlds of healthcare practice and business. Winegar and Hayter, authors of this guidebook, are managed care and social work administrators who want "to provide readers with a handy and concise compilation of the most commonly used terms and acronyms" used within managed care systems today. Their book is intended for students and practitioners in social work and other health and human service professions. This book is easy to use; the terms and concepts are organized into four broad headings: clinical, financial, practice management, and quality management terminology. Within definitions, italicized words represent cross-references. Included is a section on public and private resources with available Internet addresses. All levels. R. L. Jones; Pennsylvania State University, Hershey Medical Center

Table of Contents

Prefacep. vii
Acknowledgmentsp. ix
Introductionp. 1
Clinical Terms and Conceptsp. 5
Financial Terms and Conceptsp. 19
Practice Management Terms and Conceptsp. 35
Quality Management and Utilization Review Terms and Conceptsp. 61
Appendix Health Information Resourcesp. 77
Directory of MCO Quality Oversight Organizationsp. 85