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Dictionary of Health Insurance and Managed Care [Paperback]

David E. Marcinko MBA CFP CMP (Editor), Hope Rachel Hetico RN MHA CMP (Editor)
5.0 out of 5 stars  See all reviews (2 customer reviews)

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Book Description

March 22, 2006 0826149944 978-0826149947 1

Designated a Doody's Core Title!

To keep up with the ever-changing field of health care, we must learn new and re-learn old terminology in order to correctly apply it to practice. By bringing together the most up-to-date abbreviations, acronyms, definitions, and terms in the health care industry, the Dictionary offers a wealth of essential information that will help you understand the ever-changing policies and practices in health insurance and managed care today.


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Editorial Reviews

About the Author

Dr. David Edward Marcinko, MBA, CFP, CMP, is a health care economist, lexicographer, and board certified surgical fellow at Temple University. In the past, he has edited four practice-management textbooks, three medical texts in two languages, and six financial planning books, and two CD-ROMs for physicians, hospitals, financial advisors, accountants, attorneys, and health care business consultants. Internationally recognized for his work, he provides litigation support and expert witness testimony in State and Federal Court, with clinical publications archived in the Library of Congress and the Library of Medicine at the National Institutes of Health.

Dr. Marcinko also has numerous editorial and reviewing roles to his credit. His most recent offerings from Springer Publishing Company are Dictionary of Health Economics and Finance (2006) and the forthcoming Dictionary of Health Information Technology and Security (early 2007), both co-edited with Hope Hedico. He has also edited the classic The Business of Medical Practice: Advanced Profit Maximization Techniques for Savvy Doctors, now in its second edition (Springer Publishing Company, 2004). A favorite on the lectuer circuit and often quoted in the media, he speaks frequently to medical and financial societies throughout the country.



Hope Rachel Hetico; RN, MHA, CMP™, Managing Editor

Hope Rachel Hetico has authored and edited a dozen major textbooks and is a nationally known expert in managed care, reimbursement, case management, health insurance, quality and utilization review, and Joint Commission regulations. Previously, she was national corporate Director for Medical Quality Improvement at Apria Healthcare, a public company in Costa Mesa, California. Currently, she is a sought after thought-leader, blogger, speaker and devotee of online andragogy. Ms. Hetico is responsible for leading the firm to the top of the exploding adult educational marketplace, expanding the online Certified Medical Planner™ charter designation program, and nurturing the company's rapidly growing list of private and institutional clients.

Excerpt. © Reprinted by permission. All rights reserved.

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Product Details

  • Paperback: 372 pages
  • Publisher: Springer Publishing Company; 1 edition (March 22, 2006)
  • Language: English
  • ISBN-10: 0826149944
  • ISBN-13: 978-0826149947
  • Product Dimensions: 7.4 x 4.8 x 1 inches
  • Shipping Weight: 10.4 ounces (View shipping rates and policies)
  • Average Customer Review: 5.0 out of 5 stars  See all reviews (2 customer reviews)
  • Amazon Best Sellers Rank: #377,011 in Books (See Top 100 in Books)

 

Customer Reviews

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3 of 3 people found the following review helpful:
5.0 out of 5 stars Dictionary of Health Insurance And Managed Care, A must have for every Health Care Provider and Health Care Professional, April 27, 2006
This review is from: Dictionary of Health Insurance and Managed Care (Paperback)
The need for the Dictionary of Health Insurance And Managed Care has been a necessity for a long time. Clear, concise references tools are very much needed by all Health Care providers, Managers, Administrator and every health care professional. The information contained in this book can be the difference between barley getting by in a practice and hoping to keep up with the changes to really having a true understanding of the industry and how the topics relate to an active practice or health care operation.

I found the Dictionary of Health Insurance And Managed Care to be very well thought out and the terms are easy to understand.

When you receive raw information from a reference resource such as the Federal Register or other reference resources everyone does not easily decipher the information contained. Having this type of reference book will greatly enhance the readers ability to not only understand the terms and meanings but how to apply them in a active day to day operation of medical practice.

I would highly recommend the Dictionary of Health Insurance And Managed Care to everyone who has chosen a career in any health care discipline.

Christy S. Lodwick, MHA

PhD Candidate

Health Care Administration & Policy

Rushmore University

President/Business Development

IMPACT Health Care Solutions

Columbus, Ohio
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2 of 2 people found the following review helpful:
5.0 out of 5 stars From the Foreword, February 8, 2006
This review is from: Dictionary of Health Insurance and Managed Care (Paperback)
Why do we need the Dictionary of Health Insurance and Managed Care, and, why do payers, providers, benefits managers, consultants, and consumers need a credible and unbiased source of explanations for their health insurance needs and managed care products?

The answer is clear!

Health care is the most rapidly changing domestic industry. The revolution occurring in health insurance and managed care delivery is particularly fast. Some might even suggest these machinations were malignant, as many industry segments, professionals, and patients suffer because of them. And so, because knowledge is power in times of great flux, codified information protects all people from physical, as well as economic harm.

For example, federal government forecasts reveal that total expenditures on health services will surpass $2 trillion in 2007, and account for 17% of the gross domestic product. As a country, Americans spend dramatically more total dollars on health care, and more as a percentage of the economy, than they did two decades ago. Along with these growing expenditures, the government is assuming greater control. Currently, almost 50% of health care costs are under federal or state mandates through Medicare and Medicaid entitlement programs. The recent prescription drug program and implementation of the Health Insurance Portability and Accountability Act adds more confusion for medical providers and facilities, insurance agents, health plans, and patients. This tumult occurred so rapidly that Americans can no longer assume operative definitional stability. The resulting chaos is as expected.

Fortunately, the Dictionary of Health Insurance and Managed Care provides desperately needed nomenclature stability to health insurance policy issues and managed care procedural concerns. With almost 10,000 definitions, abbreviations, acronyms, and references, the Dictionary is the most comprehensive and authoritarian compendium of its kind, to date.

Health care economist Dr. David Edward Marcinko, MBA, and his colleagues at the Institute of Medical Business Advisors, Inc., should be complimented for conceiving and completing this laudable project. The Dictionary of Health Insurance and Managed Care lifts the fog of confusion surrounding the most contentious topic in the health care industrial complex today. My suggestion, therefore, is to "read it, refer to it, recommend it, and reap."

Michael J. Stahl, PhD

Director, Physician Executive MBA Program

William B. Stokely Distinguished Professor of Business

College of Business Administration

The University of Tennessee
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Inside This Book (learn more)
Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
small market insurance, adjusted total charges, see capitation, corridor deductible, concierge medicine, gross patient revenue, health insurance contract, nonnetwork providers, ceding company, preliminary official statement, substandard risk, health insurance agent, disability income policy, disability income insurance, health care entity, other operating revenue, primary insurance amount, medical expense insurance, other insurance policy, licensed beds, policy owner, care maps, major medical plan, supplemental medical insurance, encounter data
Key Phrases - Capitalized Phrases (CAPs): (learn more)
United States, Blue Cross, Blue Shield, Health Care Financing Administration, National Association of Insurance Commissioners, Current Procedural Terminology, International Classification of Diseases, County Indigent Programs, Department of Health Services, American Medical Association, Internal Revenue Code, International Association of Health Underwriters, Medical Information Bureau, National Uniform Billing Committee, American Hospital Association, Clinical Modification, Code of Federal Regulations, Federal Insurance Contributions Act, Freedom of Information Act, Internal Revenue Service, Neonatal Intensive Care Unit, American Psychiatric Association, Bryn Mawr, Congressional Budget Office
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