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诊断:付款错失机会。

Diagnosis: missed opportunities for payment.

作者信息

Khorsand Masoud

机构信息

Southeastern New Mexico Hematology & Oncology, USA.

出版信息

Healthc Financ Manage. 2008 Mar;62(3):40-3.

Abstract

Southeastern New Mexico Hematology & Oncology of Roswell, N.M., lowered the rate of claims denials, expedited claims processing, improved accounts receivable (A/R), and decreased administrative costs by: Streamlining revenue cycle processes. Establishing a coding review board that monitors the coding changes made by all major insurers and Medicare. Working with a local foundation to help indigent patients purchase insurance and helping those that qualify for financial assistance receive aid. Outsourcing day-today billing functions.

摘要

新墨西哥州罗斯威尔市的东南新墨西哥血液学与肿瘤学中心降低了理赔拒付率,加快了理赔处理速度,改善了应收账款(A/R),并通过以下方式降低了行政成本:简化收入周期流程;设立一个编码审查委员会,监督所有主要保险公司和医疗保险机构所做的编码变更;与当地一家基金会合作,帮助贫困患者购买保险,并帮助那些符合财务援助条件的患者获得援助;将日常计费职能外包。

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