User:Forrtmanx2/Medical billing/Bibliography
You will be compiling your bibliography and creating an outline of the changes you will make in this sandbox.
 | Bibliography
As you gather the sources for your Wikipedia contribution, think about the following:
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Bibliography
[edit]This is a peer-reviewed medical journal, so it should be a reliable source. It covers the history of medical billing from pre-colonialisms to American expansion in some depth, so it's helpful in establishing reliability.[1]
This is another peer-reviewed scientific journal. It covers how hospital systems approach the billing process from a historical and contemporary perspective.[2]
This is a peer-reviewed journal from a medical center, so it should be a reliable source for covering this topic.[3]
This is a book published by a university press, so it should be a reliable source. It covers the history of utilization management, a component of medical billing that is not often discussed.[4]
This is a peer-reviewed scientific journal, so it should be a reliable source. It covers the no surprises act and its affects on medical billing/reshaping the medical billing landscape, which will be helpful context in the history section. [5]
This is a peer-reviewed scientific journal, so it should be a reliable source. It covers components of the outpatient billing cycle.[6]
This is an open access, peer-reviewed journal, so it should be a reliable source. It covers the additional billings that may occur in a revenue cycle. [7]
This is an article from a healthcare reporting agency. It briefly covers coding and its intersection with medical billing.[8]
References
[edit]- ^ Hall, Mark A.; Schneider, Carl E. (2008-08). "Learning from the Legal History of Billing for Medical Fees". Journal of General Internal Medicine. 23 (8): 1257–1260. doi:10.1007/s11606-008-0605-1. ISSN 0884-8734. PMC 2517971. PMID 18414955.
{{cite journal}}: Check date values in:|date=(help)CS1 maint: PMC format (link) - ^ Whetsell, G. W. (1999). "The history and evolution of hospital payment systems: how did we get here?". Nursing Administration Quarterly. 23 (4): 1–15. ISSN 0363-9568. PMID 10711138.
- ^ Preskitt, John T. (2008-01). "Health Care Reimbursement: Clemens to Clinton". Baylor University Medical Center Proceedings. 21 (1): 40–44. doi:10.1080/08998280.2008.11928358. ISSN 0899-8280. PMC 2190551. PMID 18209755.
{{cite journal}}: Check date values in:|date=(help)CS1 maint: PMC format (link) - ^ Parties, Institute of Medicine (US) Committee on Utilization Management by Third; Gray, Bradford H.; Field, Marilyn J. (1989), "Origins of Utilization Management", Controlling Costs and Changing Patient Care? The Role of Utilization Management, National Academies Press (US), retrieved 2024-11-12
- ^ Lieneck, Cristian; Gallegos, Mario; Ebner, Madison; Drake, Hannah; Mole, Emma; Lucio, Kaitlin (2023-03-05). "Rapid Review of "No Surprise" Medical Billing in the United States: Stakeholder Perceptions and Challenges". Healthcare. 11 (5): 761. doi:10.3390/healthcare11050761. ISSN 2227-9032. PMC 10000910. PMID 36900766.
{{cite journal}}: CS1 maint: PMC format (link) CS1 maint: unflagged free DOI (link) - ^ Burks, Kristie; Shields, Jessie; Evans, Joseph; Plumley, Jodi; Gerlach, Jarrett; Flesher, Susan (2022-01). "A systematic review of outpatient billing practices". SAGE Open Medicine. 10. doi:10.1177/20503121221099021. ISSN 2050-3121. PMC 9134459. PMID 35646364.
{{cite journal}}: Check date values in:|date=(help)CS1 maint: PMC format (link) - ^ Viriyathorn, Shaheda; Witthayapipopsakul, Woranan; Kulthanmanusorn, Anond; Rittimanomai, Salisa; Khuntha, Sarayuth; Patcharanarumol, Walaiporn; Tangcharoensathien, Viroj (2023-01). "Definition, Practice, Regulations, and Effects of Balance Billing: A Scoping Review". Health Services Insights. 16. doi:10.1177/11786329231178766. ISSN 1178-6329. PMC 10262611. PMID 37325777.
{{cite journal}}: Check date values in:|date=(help)CS1 maint: PMC format (link) - ^ Thomas, Kristie (2023-01-31). "Inpatient and Outpatient Coding: Differences and Similarities, and How to Get the Most Out of Both Settings". YES HIM Consulting, Inc. Retrieved 2024-11-12.
Outline of proposed changes
[edit]The current article provides a foundational overview of U.S. medical billing, covering essential terminology, coding, and reimbursement processes. However, as a "Start"-rated article, it lacks depth in several key areas, particularly in historical overview, recent developments, regulatory changes, and technological advancements within the field. The introductory and historical sections are basic and would benefit from expanded information to capture evolving trends and provide historical context.
While the current organization is generally adequate, the article would be more accessible with clearer structuring and more comprehensive definitions to enhance readability for a wider audience. Additionally, although the information is accurate, it could be more up-to-date and reflective of current industry standards and best practices.
To improve the article, I propose the following updates:
- Expand the history section to include the origins of medical billing, the evolution of initial record-keeping systems, and the role of major stakeholders in shaping the field.
- Add a detailed workflow illustrating the medical billing process, from the initial hospital encounter to the issuance of the final bill to a patient.
- Incorporate recent developments in U.S. medical billing practices, including updates on regulatory changes and the impact of emerging technologies on the billing process.
These updates will provide a more comprehensive and insightful resource for readers, transforming the article from a basic primer to a thorough guide on U.S. medical billing practices.