The Primary Care Provider's Guide to Compensation and Quality, 2nd Edition : How to Get Paid and Not Get Sued

Rating:
Summary: Essential Reference for Practice
Review: Buppert's new book is truly exceptional. She weaves together the changing worlds of health care, business, law, research, and academia in a very practical way. She has created an irreplaceable resource for any and all of you nurse practitioners, physicians, and physician's assistants who desire to strengthen your primary care practice, or to develop a practice from scratch.

Buppert, an active attorney and primary care nurse practitioner, states in the preface that her book explains: · How to get paid the maximum appropriate reimbursement while complying with new federal coding and billing guidelines · How to negotiate managed care contracts · How to shine on managed care quality audits · How to monitor and improve medical outcomes at the practice level · How to avoid malpractice · How to save time while accomplishing all of the above.

Her book lives up to its promise by compiling many essential guidelines and references in one location. It includes both the private managed care HEDIS measures, benchmarks, and national track record and the public U.S. Bureau of Public Health's "Put Prevention Into Practice" health guides. It provides sample forms for following patients with chronic diseases; systems and measures to track patient satisfaction and functional status; and systems to aid compliance with Medicare and other payer's billing codes. In addition, it gives proactive legal advice on self-monitoring of documentation in order to avoid both malpractice and billing fraud liability. And, beyond this valuable information, is a chapter full of practical advice on setting up contracts with managed care organizations.

For those of us with an academic bent, additional references on quality assessment and improvement ("performance measurement") will add to the solid foundation this book provides. Clinicians attentive to measuring outcomes of care will be well-served by the clear instructions and easy-to-use templates in the book.

Buppert, in her legal practice, has for many years promoted fair contracts between primary care providers and managed care organizations. Her advice in this book is based on real-life experience and negotiation on behalf of nurse practitioners, physicians, and physician's assistants. You would pay more for one hour of an attorney's time than you will for this exceedingly helpful book!

Melinda Jenkins, PhD, RN,CS; Director, Family Nurse Practitioner Program; School of Nursing, University of Pennsylvania; Philadelphia, PA 19104-6096 [e-mail]

Rating:
Summary: Essential Reference for Practice
Review: Buppert's new book is truly exceptional. She weaves together the changing worlds of health care, business, law, research, and academia in a very practical way. She has created an irreplaceable resource for any and all of you nurse practitioners, physicians, and physician's assistants who desire to strengthen your primary care practice, or to develop a practice from scratch.

Buppert, an active attorney and primary care nurse practitioner, states in the preface that her book explains: · How to get paid the maximum appropriate reimbursement while complying with new federal coding and billing guidelines · How to negotiate managed care contracts · How to shine on managed care quality audits · How to monitor and improve medical outcomes at the practice level · How to avoid malpractice · How to save time while accomplishing all of the above.

Her book lives up to its promise by compiling many essential guidelines and references in one location. It includes both the private managed care HEDIS measures, benchmarks, and national track record and the public U.S. Bureau of Public Health's "Put Prevention Into Practice" health guides. It provides sample forms for following patients with chronic diseases; systems and measures to track patient satisfaction and functional status; and systems to aid compliance with Medicare and other payer's billing codes. In addition, it gives proactive legal advice on self-monitoring of documentation in order to avoid both malpractice and billing fraud liability. And, beyond this valuable information, is a chapter full of practical advice on setting up contracts with managed care organizations.

For those of us with an academic bent, additional references on quality assessment and improvement ("performance measurement") will add to the solid foundation this book provides. Clinicians attentive to measuring outcomes of care will be well-served by the clear instructions and easy-to-use templates in the book.

Buppert, in her legal practice, has for many years promoted fair contracts between primary care providers and managed care organizations. Her advice in this book is based on real-life experience and negotiation on behalf of nurse practitioners, physicians, and physician's assistants. You would pay more for one hour of an attorney's time than you will for this exceedingly helpful book!

Melinda Jenkins, PhD, RN,CS; Director, Family Nurse Practitioner Program; School of Nursing, University of Pennsylvania; Philadelphia, PA 19104-6096 [e-mail]