The U.S. healthcare system is in critical condition--but this should come as a surprise to no one. Yet until now the solutions proposed have been unworkable, pie-in-the-sky plans that have had little chance of becoming law and even less of succeeding. In Code Red, David Dranove, one of the nation's leading experts on the economics of healthcare, proposes a set of feasible solutions that address access, efficiency, and quality.

Dranove offers pragmatic remedies, some of them controversial, all of them crucially needed to restore the system to vitality. He pays special attention to the plight of the uninsured, and proposes a new direction that promises to make premier healthcare for all Americans a national reality. Setting his story against the backdrop of healthcare in the United States from the early twentieth century to the present day, he reveals why a century of private and public sector efforts to reform the ailing system have largely failed. He draws on insights from economics to diagnose the root causes of rising costs and diminishing access to quality care, such as inadequate information, perverse incentives, and malfunctioning insurance markets. Dranove describes the ongoing efforts to revive the system--including the rise of consumerism, the quality movement, and initiatives to expand access--and argues that these efforts are doomed to fail without more fundamental, systemic, market-based reforms. Code Red lays the foundation for a thriving healthcare system and is indispensable for anyone trying to make sense of the thorny issues of healthcare reform.

Code Red: An Economist Explains How to Revive the Healthcare System without Destroying It

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There's a good reason project risk management is one of the most vital of the nine content areas of the Project Management Body of Knowledge (TM). Important projects tend to be time constrained, pose huge technical challenges, and suffer from a lack of adequate resources. It's no wonder that project managers are increasingly focusing their attention on risk identification.

Identifying and Managing Project Risk is a practical guide to minimizing the possibility of failure in critical projects. The book takes readers step by step through every phase of a project, showing them how to consider the possible risks involved at every point in the process. Relevant figures and diagrams support the text and illustrate key scenarios. At the end of each chapter is an analysis of how the principles just discussed applied to a supreme example of what many once considered a truly impossible project: the building of the Panama Canal.

Packed with real-world information, this book is essential reading for any project manager seeking to complete projects smoothly and successfully.

Identifying and Managing Project Risk: Essential Tools for Failure-Proofing Your Project

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Use this practical guide to evaluate the efficiency of your company's current safety and health processes and make fact-based decisions that continually improve overall performance. Written for safety professionals with limited exposure to statistics and safety-performance-measurement strategies, this comprehensive book shows you how to assess trends, inconsistencies, data, safety climates, and training in your workplace so you can identify areas that need corrective actions before an accident or injury occurs.

To help you develop an effective safety metrics program, the author includes both an overview of safety metrics, data collection, and analysis and a set of detailed procedures for collecting data, analyzing it, and presenting it. You'll examine a comprehensive collection of tools and techniques that includes run charts and control charts, trending and forecasting, benchmarking, insurance rating systems, performance indices, the Baldrige Model, and six sigma.

In addition, each chapter includes exercises and questions that allow you to practice and review what you've learned. All answers are provided in an appendix.

Techniques and tools discussed in this book include descriptive and inferential statistics, cause and effect analyses, measures of variability, and probability. Safety metric program development, implementation, and evaluation techniques are presented as well.

Safety Metrics: Tools and Techniques for Measuring Safety Performance

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A concise and and easy to follow introduction to financial risk management

This basic survey text offers an accessible introduction to financial risk management, covered in its major components: credit, market, operational, liquidity, legal, and reputational, along with user-friendly processes and tools to conduct your own risk assessments and risk alignments. While there are some mathematical concepts included, these are kept at levels everyone will find easy to grasp.

• Provides a comprehensive overview of financial risk management, including credit, market, operational, liquidity, legal, and reputational risk areas
• Discusses the latest trends and next generation techniques emerging in financial risk management
• Provides risk assessment and risk alignment tools and examples

This book offers a good basic understanding of the major areas of risk exposure that all organizations, both public and private, face in operating in today's complex global marketplace. It provides insights into best practices and next generation techniques for readers entering government, not-for-profit, business, and IT positions in which risk management will play an ever expanding role.

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A step by step guide to learning the basics of Medical Billing, Coding, and Reimbursement. This is a fast-paced, ever-changing field. Learn how to run a business from home. Be your own boss. Become an entrepreneur. Understand what the CPT, ICD-9, and HCPCS manuals are and how to use them. Understand the difference between professional fees and technical fees. Fill out a HCFA-1500 form for a doctor's office, and a UB-92, or UB-04 for facilities and hospitals.

In the billing business since 1981, Lori has spent nearly 25 years both working and teaching the medical billing and coding fields, with over 10 years of that being self-employed. She built her home medical billing service from the ground up, having custom software written and implemented to the standards she set for the collection process in her small business. Now, she's sharing her secrets and tips for making a successful business run from your home too.

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An essential reference for project and program managers, this book provides simplified concepts and the tools necessary to assess, prioritise, and manage high-risk projects and tasks. The author delivers hands-on, practical information including: proven methods of integrating risk management into business and project planning; clear templates and models for preparing risk management plans; hard-nosed but easily-applied risk assessment tools such as sensitivity analysis; and, tips for setting up risk management process and support systems.

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"Live Your Life Insurance" shows you exactly how you can take advantage of one of the most common, but misunderstood, financial tools. In it, you'll discover exactly how you can use your life insurance to benefit you while you are alive -- and help you build financial security. In addition, it will reveal ways to make the best of your policy no matter what age you are. Most people don't realize what a powerful tool they have in their life insurance policies -- this book will be your guide.

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Associate PRM Certificate Exam Registration

The Associate Professional Risk Manager (PRM) is a new PRMIA certificate program intended for staff entering the risk management profession, or those who interface with risk management disciplines on a regular basis, such as auditing, accounting, legal, and systems development personnel who want to understand fundamental risk management methods and practices. Designed to be mathematically and theoretically less detailed than the Professional Risk Manager (PRM(tm)) certification, the new program will cover the core concepts allowing non-specialists to interpret risk management information and reports, make critical assessments and evaluate the implications and the limitations of such results.

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CAPSTONE SIMULATION FOR CODING will help you bridge the gap between classroom and work experience. It provides a 'virtual externship' that allows you to take what you have learned in the classroom and applies it with on-the-job scenarios typically performed by a medical coding and billing specialist. CAPSTONE SIMULATION FOR CODING simulates 80-hours of real world activities in two different scenarios. Spend one week in a medical practice performing administrative billing tasks; the second week, coding for a multi-specialty ambulatory surgery center as an employee of a remote coding company.

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Risk Management: Concepts and Guidance, third edition, is an encyclopedia of risk management tools, practices and protocols. Its 35 tool-packed chapters cover the latest perspectives on risk, focusing on a systematic approach to risk management. It highlights specific techniques to enhance organizational risk identification, assessment and management, all within the project and program environments.

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Harrington/Niehaus' "Risk Management and Insurance 2e" develops general principles or risk management and insurance and provides the essential aspects of insurance contracts and the insurance industry. It provides substantially more conceptual analysis and attention to business risk management and public policy issues than exists in current texts.

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This Elibron Classics book is a reprint of a 1920 edition by John Murray, London.

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The student workbook challenges learners with application-based assignments designed to put coding knowledge to the test.

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Healthcare Risk Adjustment and Predictive Modeling provides a ­comprehensive guide to healthcare actuaries and other ­professionals ­interested in ­healthcare data analytics, risk adjustment and ­predictive ­modeling. The book first ­introduces the topic with discussions of health risk, available data, ­clinical ­identification ­algorithms for diagnostic ­grouping and the use of grouper ­models.

The ­second part of the book ­presents the ­concept of data mining and some of the ­common approaches used by modelers. The third and ­final section ­covers a ­number of ­predictive ­modeling and risk ­adjustment ­case-studies, with ­examples from ­Medicaid, Medicare, Disability, ­depression diagnosis and ­provider ­reimbursement, as well as the use of predictive modeling and risk ­adjustment outside the U.S. For readers who wish to experiment with their own models, the book also provides a test dataset.

Healthcare Risk Adjustment and Predictive Modeling (ACTEX Professional Series)

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Financial Risk Forecasting is a complete introduction to practical quantitative risk management, with a focus on market risk. Derived from the authors teaching notes and years spent training practitioners in risk management techniques, it brings together the three key disciplines of finance, statistics and modeling (programming), to provide a thorough grounding in risk management techniques.

Written by renowned risk expert Jon Danielsson, the book begins with an introduction to financial markets and market prices, volatility clusters, fat tails and nonlinear dependence. It then goes on to present volatility forecasting with both univatiate and multivatiate methods, discussing the various methods used by industry, with a special focus on the GARCH family of models. The evaluation of the quality of forecasts is discussed in detail. Next, the main concepts in risk and models to forecast risk are discussed, especially volatility, value-at-risk and expected shortfall. The focus is both on risk in basic assets such as stocks and foreign exchange, but also calculations of risk in bonds and options, with analytical methods such as delta-normal VaR and duration-normal VaR and Monte Carlo simulation. The book then moves on to the evaluation of risk models with methods like backtesting, followed by a discussion on stress testing. The book concludes by focussing on the forecasting of risk in very large and uncommon events with extreme value theory and considering the underlying assumptions behind almost every risk model in practical use – that risk is exogenous – and what happens when those assumptions are violated.

Every method presented brings together theoretical discussion and derivation of key equations and a discussion of issues in practical implementation. Each method is implemented in both MATLAB and R, two of the most commonly used mathematical programming languages for risk forecasting with which the reader can implement the models illustrated in the book.

The book includes four appendices. The first introduces basic concepts in statistics and financial time series referred to throughout the book. The second and third introduce R and MATLAB, providing a discussion of the basic implementation of the software packages. And the final looks at the concept of maximum likelihood, especially issues in implementation and testing.

The book is accompanied by a website - www.financialriskforecasting.com – which features downloadable code as used in the book.

Financial Risk Forecasting: The Theory and Practice of Forecasting Market Risk with Implementation in R and Matlab (The Wiley Finance Series)

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INSURANCE HANDBOOK FOR THE MEDICAL OFFICE is a key text for medical administrative assisting, medical front office programs, or those who wish to become insurance billing specialists, claims assistance professionals, or electronic claims processors for physicians' practices and hospital outpatient clinics. Those already practicing in this area will also find this text beneficial, as will health claims examiner programs. The goal of this extremely up-to-date text is to increase efficiency and streamline administrative procedures for the most exasperating aspect of the doctor's office routine: insurance billing. This text offers guidance for all aspects of submitting, tracing, appealing, and transmitting claims for today's full range of health plans. Important coverage of diagnostic coding, procedural coding, office and insurance collection strategies, Medicare, Managed Care, and more is presented. Additionally, a free CD-ROM featuring the HCFA-1500 claim form is included with the book. The CD-ROM contains 10 scored patient case studies with related insurance information so that the student can practice completing the HCFA-1500 claim form in a fun, interactive format.

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