Medical Practice Management System Book

SECTION 1: BUSINESS PLATFORM

Chapter 1: THE BUSINESS PLAN Elements Preparation Guidelines Layout Financial Plan Approaching Banks and Investors Summary

Chapter 2: CREDENTIALING Individuals

Chapter 3: HIPAA (Health Insurance Portability & Accountability Act) Elements Guidelines Regulations Business Associates Organizations

Chapter 4: EMPLOYMENT STANDARDS Employee Application Employment at Will Work Day and Work Week Security

Chapter 5: EMPLOYEE CONDUCT Delegation of Authority Disciplinary Actions Sexual Harassment Alcohol and Drugs Personal Appearance

Chapter 6: EMPLOYEE COMPENSATION Full Time Employees Job Classifications, Pay Grades, and Salary Ranges Employee Evaluations Benefits

Chapter 7: EMPLOYEMENT LEAVES Voluntary Separation Family and Medical Leave Act Leave of Absence

Chapter 8: STAFF MEETINGS Communication Administrative Reporting

Chapter 9: FACILITY OPERATIONS Facility Business Policy Notifications

Chapter 10: FACILITY ENVIRONMENTAL GUIDELINES General Office Guidelines Back End Guidelines Laboratory Guidelines CLIA Guidelines OSHA Guidelines Fire Safety Plan SECTION 2: PATIENT MANAGEMENT

Chapter 11: TELEPHONE MANAGEMENT Front Desk Guidelines Patient Communication and Messaging Facsimile Transmissions

Chapter 12: APOINTMENT SYSTEMS Allotments Capacity Categories Scheduling Effective Systems

Chapter 13: REGISGTRATION & SCHEDULING New Patient Registration Insurance Verification Appointment Confirmation Appointment Arrival Appointment Hurdles Cancellations and No-Shows Recall System

Chapter 14: PATIENT CONSENT AND DISCLOSURE Consent for Purposes of Treatment, Payment andHealthcare Operations Authorization for Use or Disclosure of Protected Health Information Patient Rights Notice of Privacy Practices

Chapter15: PATIENT VISITS Arrival Medical Record Check In Patient Preparation Orders for Treatment Patient Notification Check Out Next Days Office Visits

Chapter 16: PHARMACEUTICALS Medication Storage Controlled Substances Sample Medications Prescription Refills Packaged Devices

Chapter 17: MEDICAL RECORDS Confidentiality Maintenance of Medical records Medical Record Review Narrative Report Subpoenas Release of Information Records Retention and Destruction Preventative and Ambulatory Survey

Chapter 18: QUALITY IMPROVEMENT Quality Improvement Plan Emergency Protocol Physician Called Away Incident Reporting Change of Care SECTION 3: BILLING OPERATIONS

Chapter 19: PATIENT FINANCIAL LIABILITY Patient Financial Policy Time of Service Financial Liability Payment Arrangements Economic Hardship

Chapter 20: SCHEDULED FEE PROGRAMS CHAMPUS - CHAMPVA Chronically Ill and Disabled Children Laptook Medical Advocacy Services for Healthcare, (MASH) Medicaid Medicare

Chapter 21: REIMBURSEMENTS Payment Posting Charge Posting Deposits Third Party Billing

Chapter 22: COLLECTIONS, EDITS, and WRITE-OFFS Patient Collections Insurance Collections Scheduled Fee Denials Bad Debt Write-Off and Recovery Deceased Patients Estate Collection