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Health Care Finance and the Mechanics of Insurance and Reimbursement Includes Navigate 2 Advantage Access

Author(s): Michael K. Harrington, MSHA, RHIA, CHP, Faculty, St. Joseph's College of Maine, Department of Health Administration, Standish, Maine
  • ISBN-13: 9781284026122
  • Navigate 2 Advantage Access     348 pages      © 2016
Price: $96.95 US List
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Each new print copy of Health Care Finance and the Mechanics of Insurance and Reimbursement also includes Navigate 2 Advantage Access that unlocks a complete eBook, Study Center, homework and Assessment Center, and a dashboard that reports actionable data. Experience Navigate 2 today at

Health Care Finance and the Mechanics of Insurance and Reimbursement stands apart from other texts on health care finance or health insurance, in that it specifically addresses the methods and process for reimbursement, including coding, reimbursement strategies, compliance, financial reporting, case mix index, and external auditing.

With up-to-date coverage of the Affordable Care Act, this one-of-a-kind text will prepare health administration and health information management students with the necessary tools to successfully transition from the classroom to the health care facility.

Some of the topics covered include:

  • Claims Processing
  • The Affordable Care Act
  • Medicare Prospective Payment System (Inpatient)
  • Medicare Outpatient Prospective Payment Systems (Non-Inpatient)
  • Coding for the Non-HIM Professional
  • Revenue Cycle Management
  • Healthcare Fraud and Abuse
  • Electronic Health Records and Meaningful Use
  • Government Incentive Programs
  • Recovery Audit Contractors


About the Author  
Chapter 1  Introduction to Healthcare Finance
Chapter 2  Financial Management
Chapter 3  Introduction to Claims Processing
Chapter 4  Government Payer Types
Chapter 5  Affordable Care Act
Chapter 6  Managed Care Organizations
Chapter 7  Medicare Prospective Payment Systems
Chapter 8  Hospital Outpatient Prospective Payment System(OPPS)
Chapter 9  Coding for the Non-HIM Professional
Chapter 10  Revenue Cycle Management
Chapter 11  Healthcare Fraud and Abuse
Chapter 12  Electronic Health Records and Meaningful Use
Chapter 13  Government Incentive Programs
Chapter 14  Recovery Audit Contractors
Appendix: List of Acronyms  

Michael K. Harrington, MSHA, RHIA, CHP-Faculty, St. Joseph's College of Maine, Department of Health Administration, Standish, Maine

Michael K. Harrington, MSHA, RHIA, CHP, has more than 30 years of experience in healthcare in areas such as Health Information Management, managing homecare companies on a local and regional level, and consulting in the post-acute sector. He is a leading authority on healthcare reimbursement and Revenue Cycle Management (RCM) and has extensive experience in implementing the RCM model in physician’s offices and other healthcare organizations outside of the acute care setting.

            After starting out in the healthcare field in a homecare company as a coordinator, Harrington quickly advanced into managing homecare companies that handled durable medical equipment, specialty home infusion, high-tech respiratory, and specialty biologicals and repositioned these companies by using reimbursement and quality clinical care as the cornerstones to his success. In addition to managing homecare companies, Harrington started to teach and was part of the adjunct faculty at Gwynedd Mercy College, Temple University, and St. Joseph’s University in the Philadelphia. His focus has always been in healthcare reimbursement when teaching, but has instructed in other areas such as Healthcare Policy, Healthcare Ethics, Healthcare Delivery, Computerized Medical Records, and Healthcare Law. Recently Harrington has become part of the full time faculty at St. Joseph’s College Online where he is assisting in the development of the online Health Information Management Program. In addition, Harrington has formed his own consulting firm called Professional Revenue Management Services, LLC, in 2013. He provides healthcare organizations with consulting services focused on healthcare reimbursement, specifically, Revenue Cycle Management services in the physician’s office and other healthcare settings.

            Harrington earned his bachelor’s degree from LaSalle College and his master’s degree from Independence University (formerly California College for Health Sciences). Harrington also earned his Registered Health Information Management (RHIA) credentials at Alabama State University. He is an active patient advocate and is a much-sought-after speaker in the areas of healthcare reimbursement, healthcare finance, and healthcare operations.

            He can be reached at

The following instructor resources are available to qualified instructors for download

ISBN-13: 9781284026122

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