No Money - No Mission—Best Practices of Healthcare Revenue Cycle Management

Each year, healthcare providers deliver more than $2 trillion in goods and services. Because of the unique healthcare payment system in the United States, few of these dollars change hands directly between providers and patients Instead, there is a complex reimbursement system, mostly dirven by third-party payment transaction between government programs and insurance companies on the one hand, and healthcare providers on the other. This system is made even more complex by the increasing necessity to collect a growing percentage of fees diretly from patients.

This unique work tells the complete story of healthcare revenue cycle management. Designed to improve the efficiency of managers, the book is organized by functional area to reflect the organization of most revenue cycles. In addition to first party interviews that define best practices and provide solutions to predictable but complex challenges, the author includes a wealth of relevant literature citations. He further augments the text with a glossary, information tables, flowcharts, organizational charts, sample policies, and sample position descriptions.