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Medical Tourism Facilitator's Handbook

Product Details

Table of Contents

Defining the Role of the Facilitator Professional Medical Travel Facilitator Case Management Travel Planner Travel Agent Individual Designations The Travel Agent Proficiency (TAP) Test Certified Travel Associate (CTA) Designation Travel Agency Credentials IATA/IATAN Endorsement IATAN Credentials/ID Cards Agency Appointments Airlines Reporting Corporation (ARC) Agencies Without ARC Accreditation or Appointments Regulatory Oversight Computer Software and Programs to Support Your Travel Agency Business Web Portal (Electronic Mail) Concierge Additional Resources Trade and Industry Organizations American Society of Travel Agents ASTA Future Travel Professional (FTP) Club National Association of Commissioned Travel Agents, Inc. International Airlines Travel Agent Network (IATAN)- Airline Reporting Travel Agency Bonds Travel Trade Publications Travel Agency Software Business Startup Business Plan Present Status of the Business Describe Your Competitive Advantage Industry Overview Marketing Plan Customer Service Plan Technology Plan Consultants for Your Business Compliance Plan Basic Privacy Laws Developing a Medical Records and Electronic Data Privacy and Security Plan The Red Flags Rule: Fair and Accurate Credit Transactions Act (FACTA) Compliance Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security Compliance Health Care Business Associate Agreement Recitals Definitions Specific Definitions Obligations and Activities of Business Associate Permitted Uses and Disclosures by Business Associate Obligations of Covered Entity Permissible Requests by Covered Entity Term and Termination Miscellaneous Health Information Technology for Economic and Clinical Health (HITECH) Developing a Business Startup Budget Financial Projections Cash Management Plan Costly Contingencies, Refunds, and Liabilities Nonrefundable and Partially-Refundable Deposits Ostensible Agency Liability Failure to Perform Due Diligence Privity of Contract Joint and Several Liability Liquidated Damages Slow Pay Understanding Managed Care and Health Care Reimbursement Health Plans in the United States Health Maintenance Organizations (HMOs) Administrative Services Organizations (ASOs) Preferred Provider Organizations (PPOs) Third-Party Administrators (TPAs) Exclusive Provider Organizations (EPOs) Consumer-Driven Health Plans (CDHPs) Medicare and Medicaid Building Your Product and Inventory What Do You Sell? The Procedures Paper or Software? Anesthesia Overview General Anesthesia Regional (Block) Anesthesia Spinal Anesthesia Epidural and Caudal Anesthesia Peripheral Nerve Block Intravenous Regional Anesthesia (Bier Block) Monitored Anesthesia Care (MAC) (Anesthesia Standby) Local Anesthesia Acupuncture and Hypnosis Hypnotic Anesthesia Postanesthesia Recovery An Overview of Medical Procedures Diagnostic Procedures Cancer Treatment Cardiac surgery Laryngectomy Biopsy Myotomy Radiosurgery Laparoscopy Cauterization Pleurodesis Grafting Hemorrhoidectomy Fistulotomy Parathyroidectomy Angioplasty Cricothyrotomy or Corodotomy Endoscopic Thoracic Sympathectomy Frenectomy Eye Surgery Corneal Transplantation Refractive Surgery Cataract Surgery Macular Degeneration Glaucoma Retinal Detachment Gynecological Surgery Hysterectomy Oophorectomy Episiotomy Tubal ligation Tubal reversal (tubal anastomosis) Colporrhaphy Lithotripsy Orchidectomy Circumcision Foreskin restoration Penectomy or Peotomy Phalloplasty Vasectomy Prostatectomy Discectomy Bilateral Cingulotomy Cordotomy or Chordotomy Orthopedic Surgery Hip Replacement Hip Resurfacing (Birmingham HipTM) Arthrodesis Arthroplasty Arthroscopy Knee Replacement (TKR) Partial Knee Resurfacing/Unicondylar Knee Arthroplasty (UKA)/Journey Deuce Anterior Cruciate Ligament (ACL) Reconstruction Shoulder Reconstruction Acromioplasty Ulnar Collateral Ligament Reconstruction or Tommy John Procedure Amputation Shoulder Replacement Pediatric Surgery Plastic Surgery Rhytidoplasty or rhytidectomy BOTOX (R) Cosmetic, Dermal Fillers, and Other Wrinkle Treatments Breast Augmentation (Implants) Breast Lift (mastopexy) Breast Reduction Breast Reconstruction Reconstructive Mammoplasty Lumpectomy Mammectomy or Mastectomy Flap Procedures Buttock Augmentation/Buttock Lift Eyelid Surgery (blepharoplasty) Ear Surgery (otoplasty) Myringotomy Stapedectomy Mastoidectomy Adenoidectomy Tracheotomy Tracheostomy Frontalis lift or Forehead Lift Liposuction Tummy Tuck (abdominoplasty) Thigh Lift Facelift (rhytidectomy) Thread Facelift Rhinoplasty (Nose Surgery) Mentoplasty Podiatric Surgery Regenerative Medicine Spine Surgery Khyphoplasty Laminectomy Hemicorporectomy Urological Surgery Diverticulectomy Abdominal Surgery Splenectomy Pancreaticoduodenectomy Kidney Transplantation Lung Transplantation Thoracotomy Thrombectomy Thymectomy Pneumonectomy or Pneumectomy Nephrectomy Thyroidectomy Heart transplantation Hernia Repair Gastrectomy Nissen fundoplication Cholecystectomy Laparotomy Hepatectomy Appendectomy Cesarean section or C- Section Colon resection Colostomy Weight Loss Surgery (Bariatric Surgery) Bariatric Surgery "Lite" Workflows Initial Contact Contacting the Medical Experts Reporting Back to the Client Day Before Travel Travel Day On Arrival at the Destination Hotel Considerations Second-Tier City Considerations RevPAR-Watch Out For "Ancillary" Fees Keeping the Terms of the Negotiated Rates Are Key Pointers on How to Negotiate On the Day of Surgery or the Day Prior to Surgery On the Day of Discharge Postoperative Tourism and Leisure Activities On the Day of Departure On Return Back to the Client's Home Country Contracting for Your Services Working Up a Price Estimate Dealing with Extra Charges that May Arise Travel Planning Planning the Travel for a Surgical Client Planning the Travel for a Wellness Visit Client Planning the Travel for a Diagnostic Services Client If the Client Is Unable to Travel in Commercial Airliners Peri-Operative Planning Preoperative Details and Preparations Postoperative: In Country, Prior to Departure Postoperative, Follow-Up, and Aftercare Postsurgery Recuperation Period Spa Tourism; Derek Bryson Hedden Target Market Getting to Know Your Client Services Types of Spas Medical Spas Resort Spas Destination Spas Hot Springs Weight Loss Spas Spa Associations Quality and Safety Transparency; Lisa Beichl, Transparent Borders LLC Types of Medical Tourism Groups and Venues Medical Tourism Venues General Medical Tourism Flow (Domestic and International) Risk Assessments Market Risk Transition Risk Importance of Transparency in Managing Risks Importance of Market Transparency in International Medical Tourism Quality and Safety Transparency Accreditation Patient Safety Quality Tools to Promote Transparency Risks and Rewards of Medical Tourism Measuring Outcomes Surgical Site Infection Rates Readmission Rates Mortality Rates and Discharge Status Patient Satisfaction Movement to Standard Best Practices Putting It All Together: Your Provider Network Anticircumvention Professional Liability Issues Disclaimer of Liability Option 2: Each Responsible for Own Acts Theories of Liability Ostensible Liability Vicarious Liability Shared Liability Assignment of the Contract Provider Credentialing and Privileging Agreement to Accept Hospital's Credentialing Dispute Resolution Liquidated Damages Reimbursement and Financial Terms Exclusions and Inclusions Cancellations and Provider Refund Policies, If Any Commissions Forms or Methods of Payment Revenue Cycle Time Period for Provider to Receive Payment Confidentiality Physician and Dentist Agreements Credentialing and Privileging Malpractice and Professional Liability Hotel Agreements Chauffeur Services Contracts, Agreements, and Forms Market Research Medical Association Contact Information Quality Metrics and Outcomes Dealing with Late-Reported or Delayed Adverse Outcomes Additional Resources Bibliography Index

About the Author

Maria K. Todd, MHA, PhD, is the CEO of Mercury Healthcare. Dr Todd's background includes postgraduate degrees in Health Administration, and more than 30 years of healthcare industry experience. Her professional experience includes work as a HMO provider relations coordinator, an Independent Practice Association (IPA), Physician Hospital Organization (PHO), and Management Services Organization (MSO) developer and executive director, contract analyst and negotiator, medical group administrator, surgical assistant and EMT, hospital business office manager, health law paralegal and certified mediator. She is the author of the industry's bestselling book, IPA, PHO MSO Development Strategies: Building Successful Provider Alliances (1997, McGraw Hill and the HFMA, Chicago). Dr. Todd has led the project management of more than 150 integrated health delivery systems, many still in successful operation today, and is a highly-regarded international healthcare industry consultant and contract negotiator who authored hundreds of journal articles, several white papers and nine professional trade books. Since 1989, she has presented more than 2700 US and International educational presentations and keynote addresses on topics ranging from managed care contract analysis, integrated delivery system development, medical tourism, contracted reimbursement, and global healthcare program development. In her role with Mercury Healthcare, she leads the world's first and only globally integrated health delivery system(R) making its vast integrated provider network available by contract to a variety of payers of health benefits, including insurers, third party administrators or employers. Mercury also grants access to individual consumers seeking local care and domestic and international health travel for elective healthcare and related services, and manages logistical coordination and medical case management services for clients.

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