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This book is the first comprehensive text on utilization management in the clinical laboratory and other ancillary services. It provides a detailed overview on how to establish a successful utilization management program, focusing on such issues as leadership, governance, informatics, and application of utilization management tools. The volume also describes ways to establish utilization management programs for multiple specialties, including anatomic pathology and cytology, hematology, radiology, clinical chemistry, and genetic testing among other specialties. Numerous examples of specific utilization management initiatives are also described that can be imported to other heath care organizations. A chapter on utilization management in Canada is also included. Edited by an established national leader in utilization management, Utilization Management in the Clinical Laboratory and Other Ancillary Services is a valuable resource for physicians, pathologists, laboratory directors, hospital administrators, and medical insurance professionals looking to implement a utilization management program.
Self-assessment Q&A in Clinical Laboratory Science, III, adds a variety of subject matter that addresses new concepts and emerging technology, particularly in the areas of kidney biomarkers, cancer biomarkers, molecular diagnostics, multiple myeloma, pharmacogenomics, novel cardiovascular biomarkers and biomarkers of neurologic diseases. The field of Clinical Laboratory Science continues to evolve and editor Alan Wu has once again brought together experts in the field to cover the contemporary topics that are being tested today. This updated bank of questions and answers is a must-have to sharpen knowledge and skills. Contains nearly 800 multiple choice questions with correct answer explanations Assists readers in determining knowledge gaps so they can better study for certification examinations and remain current in this rapidly changing field Provides a format that is conducive to quick learning in digestible segments Includes beneficial citations for additional study
This issue of Clinics in Laboratory Medicine, Guest Edited by Dr. Anand S. Dighe, will focus on Clinical Decision Support, including tools, strategies, and emerging technologies. This issue is one of four issues selected per year by the series Consulting Editor, Milenko Jovan Tanasijevic. Topics include, but are not limited to, The Laboratory’s Role in Clinical Decision Support, Integrating Decision Support into a Utilization Management Program, Decision Support Tools within the Electronic Health Record, Decision Support to Enhance Automated Testing and Laboratory Workflow, Laboratory-based CDS programs, Decision Support in Blood Banking, Decision Support in Molecular Pathology, A Computational Perspective on Decision Support, Emerging Decision Support Techniques, Decision Support and Patient Safety, Decision Support from a Reference laboratory perspective, and Training Aspects of Laboratory Based Decision Support.
Apply the principles of management in a clinical setting with this vital guide Managerial expertise is increasingly essential to the practice of medicine. It's no longer possible for laboratory directors or heads of clinical practice to grasp only the principles of medicine and pathology; it's now more necessary than ever that they be versed in fiscal management, patient care testing, quality assurance, and many other potential areas of expertise. Recent changes to the practice of medicine driven by the COVID-19 pandemic have only rendered this need more urgent. Clinical Laboratory Management provides a practical, comprehensive introduction to this body of expertise for practitioners who find themselves in supervisory positions. Beginning with an overview of management principles and their clinical applications, it assesses in detail the challenges facing clinical laboratories and the best practices for meeting them. Now fully updated to reflect the latest contributions from both business and medicine, it's an indispensable tool in a changing clinical world. Readers of the third edition of Clinical Laboratory Management will also find: Updates reflecting the lessons and transformations brought about by COVID-19 Detailed discussion of topics including point-of-care testing, information systems, reimbursement compliance, and more Practical examples and summary tables throughout Clinical Laboratory Management is ideal for laboratory directors, chief technologists, healthcare administrators, and trainees for leadership positions.
This book is a quick read and is ideal for busy laboratory managers and supervisors; it contains a relatively complete index and additional reading sources for more detailed management discussions. It is a particularly useful guide for individuals in Pathology residency training who need to know various aspects of laboratory management but may not have had much training or experience in this area. Laboratory Management provides the opportunity to learn from the mistakes of other individuals to stimulate readers to reflect on their own laboratory practices and to be proactive in establishing policies and procedures that promote quality laboratory services. --Anthony Kurec, MS, MLT(ASCP)H, DLM SUNY Upstate Medical University, Syracuse, NY, Lab Medicine Laboratory Management addresses common issues and errors seen in the laboratory management process. The goal is to enable the laboratory manager to avoid or correct such errors by both individual effort and a systems approach in the laboratory. The book addresses potential issues in accreditation and regulatory compliance, laboratory and patient safety, quality management, financial management, human resources management, specimen processing logistics, performance standards, selection and management of commercial laboratories and much more. Each of these can have an adverse impact on the laboratory performance if a management error occurs. Potential management errors are described and discussed in a clinical case-based learning format to effectively illustrate the conditions that contribute to these errors and enable the laboratory manager to recognize and avoid them in daily practice. Laboratory Management Features: Descriptions of potential errors in regulatory compliance, operational processes, and patient safety in the laboratory Descriptions of potential errors in financial, human, and test utilization management in the laboratory Descriptions of potential errors in selecting automation and information systems in the laboratory Clinical case discussions provide "real world" illustrations of potential errors and how to anticipate and avoid them in practice Pocket-sized for Portability
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A basic guide to hospital billing and reimbursement, Understanding Hospital Billing and Coding, 3rd Edition helps you understand, complete, and submit the UB-04 claim form that is used for all Medicare and privately insured patients. It describes how hospitals are reimbursed for patient care and services, showing how the UB-04 claim form reflects the flow of patient data from the time of admission to the time of discharge. Written by coding expert Debra P. Ferenc, this book also ensures that you understand the essentials of ICD-10-CM and develop skills in both inpatient coding and outpatient/ambulatory surgery coding. UB-04 Claim Simulation on the companion Evolve website lets you practice entering information from source documents into the claim form. Over 300 illustrations and graphics bring important concepts to life. Detailed chapter objectives highlight what you are expected to learn. Key terms, acronyms, and abbreviations with definitions are included in each chapter. Concept Review boxes reinforce key concepts. Test Your Knowledge exercises reinforce lessons as you progress through the material. Chapter summaries review key concepts. Practice hospital cases let you apply concepts to real-life scenarios. Updated Claim Forms chapter covers the UB-04 claim form. Updated information covers diagnosis and procedural coding, with guidelines and applications. Updated claim forms and names are used throughout.
Clinical Laboratory Management Apply the principles of management in a clinical setting with this vital guide Clinical Laboratory Management, Third Edition, edited by an esteemed team of professionals under the guidance of editor-in-chief Lynne S. Garcia, is a comprehensive and essential reference for managing the complexities of the modern clinical laboratory. This newly updated and reorganized edition addresses the fast-changing landscape of laboratory management, presenting both foundational insights and innovative strategies. Topics covered include: an introduction to the basics of clinical laboratory management, the regulatory landscape, and evolving practices in the modern healthcare environment the essence of managerial leadership, with insights into employee needs and motivation, effective communication, and personnel management, including the lack of qualified position applicants, burnout, and more financial management, budgeting, and strategic planning, including outreach up-to-date resources for laboratory coding, reimbursement, and compliance, reflecting current requirements, standards, and challenges benchmarking methods to define and measure success the importance of test utilization and clinical relevance future trends in pathology and laboratory science, including developments in test systems, human resources and workforce development, and future directions in laboratory instrumentation and information technology an entirely new section devoted to pandemic planning, collaboration, and response, lessons learned from COVID-19, and a look towards the future of laboratory preparedness This indispensable edition of Clinical Laboratory Management not only meets the needs of today’s clinical laboratories but anticipates the future, making it a must-have resource for laboratory professionals, managers, and students. Get your copy today, and equip yourself with the tools, strategies, and insights to excel in the complex and ever-changing world of the clinical laboratory.