You find out from billing that a growing number of, Ask an Expert

Management Studies

You find out from billing that a growing number of processed claims are returning as denied. Upon further investigation, you find that the root cause seems to be the inconsistency of checking eligibility of patients.

Goal – Develop a solution to reduce the number of denied claims and that utilizes the team more to assist in accomplishing the goal.

1. Opportunity for Improvement (Problem Statement):

2. Who needs to be given opportunity for input?

3. Decision making process:

4. Recommended Action Steps:

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Operation Management, Management Studies

Category:- Operation Management
Reference No.:- M91702228

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