This edition incorporates new reimbursement concepts such as PQRI which is the Physician Quality Reporting Initiative that provides financial incentives for successfully reporting the designated set of quality measures.

This edition includes new reimbursement concepts including RTCA which is Real Time Claims Adjudication capability offered to providers by major health plans that allows the providers to query the plan for the amount patients will owe and then ask patients for payment of their portion of planned visit bills at the time of service.

Also covered in this edition are the new ICD-9-CM and CPT/HCPCS codes and for hospitals, the concept of "never events"--hospital acquired conditions that are not paid by federal/state insurances.

Online Learning Center (OLC) provides chapter-specific applications, relevant links, quizzes, and more.

Updated information relative to government regulations and industry regulations.

Update Medisoft Advanced software applications for Version 14.