Bosenbark Linda, Vincenti Anne
3M Health Information Systems Consulting Services Atlanta, USA.
Healthc Financ Manage. 2006 Feb;60(2):60-2, 64.
Healthcare finance professionals and other employees from departments involved with a hospital's revenue cycle can work together in many ways to minimize denials, delays, and write-offs: Verifying medical necessity when a patient is first seen, rather than when the patient arrives for service, so that an advance beneficiary notice can be issued and signed at the time of service. Ensuring that the proper codes and modifiers are assigned before a claim is submitted. Augmenting software compliance tools with human expertise in compliance and internal education programs to reduce errors over time before they reach the billing department.
医疗保健财务专业人员以及医院收入周期相关部门的其他员工可以通过多种方式共同努力，将拒付、延误和核销降至最低：在首次见到患者时而非患者前来接受服务时核实医疗必要性，以便在服务时发放并签署预先受益人通知书。在提交索赔申请之前确保分配正确的代码和修饰符。利用合规和内部教育计划方面的专业知识增强软件合规工具，随着时间的推移减少错误，使其在到达计费部门之前得到纠正。
