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Using case management to improve claims payment

Authors :
Micheletti, Julie A.
Mevert, Steve
Shlala, Thomas J.
Source :
Healthcare Financial Management. May, 1995, Vol. v49 Issue n5, p38, 5 p.
Publication Year :
1995

Abstract

Health insurance providers and other entities that pay for rising medical claims are subjecting such claims to intense scrutiny. These reviews take the form of payer system edits, payer case management and medical reviews. Healthcare providers can use internal case management to better handle these reviews. Such a program would also increase the efficiency of claims processing while increasing patient access to a range of services, lowering medical costs and promoting continued care.

Details

ISSN :
07350732
Volume :
v49
Issue :
n5
Database :
Gale General OneFile
Journal :
Healthcare Financial Management
Publication Type :
Periodical
Accession number :
edsgcl.16925119