Hosp Case Manag. 2001 Feb;9(2):20-2, 17-8.
Johns Hopkins Hospital in Baltimore provides an excellent real-life example of how to manage claims denials for increased reimbursement. Hopkins gained more than $2 million when it revised its policies and procedures regarding claims denials. Jon Mayer, RN, FNP, MBA, a management consultant with Chicago-based Milliman and Robertson Inc., suggests getting case management involved early, at the contract negotiation stage.
巴尔的摩的约翰·霍普金斯医院提供了一个绝佳的现实案例，展示了如何处理理赔拒付以增加报销金额。霍普金斯医院在修订其关于理赔拒付的政策和程序后，多获得了200多万美元。乔恩·梅耶，注册护士、家庭护理执业医师、工商管理硕士，是总部位于芝加哥的米利曼&罗伯逊公司的管理顾问，他建议在合同谈判阶段尽早引入病例管理。
