Managed Care » Practice Management



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- General Business / Small Business : Guides, handbooks, tools, forms, software, etc. for small business
Model letters, contracts, policies, forms, templates. Small Business Handbook. Free software. Guidelines for business planning, marketing, management, etc. Information on employee benefits, employment laws, finance, workplace safety, etc. for small business.


- Updated Health / Code Sets : DRG, APG & ICD-9-CM and ICD-10-CM coding - Medicare payment rates
Index of diagnosis related groups. International classification of diseases ICD-9 code query system. Calculators, manuals related to DRG, APG & ICD-9-CM and ICD-10-CM coding.


- Health / Medical Center Mgt : Handbooks for medical staff and patients, departmental resources
Full text of a medical staff handbook and of a patient handbook in use by the National Institute of Health. Medical department intranet websites. Medical records management.


- Managed Care / Liability : Guidelines to physicians about liability in managed care
Various resources assist the physician in understanding liability in managed care. The Health Administration Responsibility Project (HARP) - seeks to establish liability of managed healthcare organizations for consequences of their decisions. MCO's - the rules are changing for managed care liability.


- Risk Mgt / Medical Liability : Medical malpractice, risk management in medicine, insurance, etc.
Medical professional liability exposures. Tips to prevent malpractice claims. Handbook on risk management for physicians. State-specific legislative information. Series of risk management forms and letters available for download. Answers to common questions about the release of medical records. Emergency room risk management. Series of articles on risk management and medical professional liability.



The Business Library


- Business Basics / Small Business : Small business guides, handbooks, tools, forms, software
Online courses for small business. Model letters, contracts, policies, forms, templates. Small Business Handbook. Free software. Guidelines for business planning, marketing, management, etc. Information on employee benefits, employment laws, finance, workplace safety, etc. for small business. Entrepreneurship.


- Updated Health Cost Management / Medical Coding : Coding: DRG, APG & ICD-9-CM and ICD-10-CM. Medicare payment rates
Calculators, manuals related to DRG, APG & ICD-9-CM and ICD-10-CM coding. Index of diagnosis related groups. International classification of diseases ICD-9 code query system.


- Health Cost Management / Practice Management : Materials on how managed care affects a physician's practice
Online tutorials for healthcare professionals on how to manage managed care. Examples: Guidance on how a physician can avoid being deselected from health plans. Physician profiling and how it can affect a physician's practice. Expediting MCO Payments. Understanding capitation contracts and stop loss. Full text of the fill-in-the-blanks AMA Model Managed Care Medical Services Agreement. Sample managed care contract. Capitation contracts.


- Insurance / Malpractice Insurance : Malpractice, risk management in medicine, insurance for the medical industry
Series of articles on risk management and medical professional liability. Medical professional liability exposures. Tips to prevent malpractice claims. Handbook on risk management for physicians. State-specific legislative information. Series of risk management forms and letters available for download. Answers to common questions about the release of medical records. Emergency room risk management.




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