Micheletti J A, Mevert S, Shlala T J
Healthcare Design Systems, Sea Girt, NJ, USA.
Healthc Financ Manage. 1995 May;49(5):38-40, 42-3.
Payers increasingly are subjecting claims to intensive review in an attempt to control amounts paid for healthcare services. An internal case management program, however, can help providers better understand and respond to the review techniques employed by payers as well as streamline overall claims processing.
