Welter Terri L, Semko George A, Miller Tony, Lauer Roberta
ECG Management Consultants, Inc, Arlington, VA, USA.
Healthc Financ Manage. 2007 Sep;61(9):88-95.
The following key drivers of commercial contract variability can have a material effect on your hospital's revenue cycle: Claim form variance. Benefit design. Contract complexity. Coding variance. Medical necessity. Precertification/authorization. Claim adjudication/appeal requirements. Additional documentation requirements. Timeliness of payment. Third-party payer activity.