Principles of Healthcare Reimbursement

Principles of Healthcare Reimbursement
6th Ed.
2018 © AHIMA Press
Anne B. Casto, RHIA, CCS
ISBN-10: 1-58426-646-5 / ISBN-13: 978-1-58426-646-4
Healthcare Informatics, Basic Sciences, Healthcare Administration


The sixth edition of Principles of Healthcare Reimbursement gives educators, students, and healthcare professionals comprehensive, up-to-date information on healthcare reimbursement systems, and the impact each system has on the entire US healthcare delivery system and economy, in one trusted source. In addition to describing healthcare reimbursement methodologies and systems, this text discusses the impact of health insurance, coding and billing compliance and value-based purchasing initiatives. New and future healthcare professionals desiring to work in healthcare finance, revenue cycle, compliance and coding will gain the knowledge and training they need to succeed.

Key Features

  • • Covers accessing and using fee schedules, payment classification groups, exclusion lists, market baskets, and wage indexes required for accurate reimbursement
  • • Explains the various methods, plans, and programs that typify government-sponsored payment systems, commercial insurance, and managed-care
  • • Describes various types of healthcare cost-sharing and their effects on providers and consumers
  • • Illustrates specialized data collection instruments and electronic submission software used in post acute care

Doody's Reviews

Doody's Core Titles (DCT)
Essential Purchase Title (EPT)
Specialty Score: 2.73 Health Sciences - Health Information Management
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Table of Contents

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