Managing the claims denial appeals process.
Beyond the traditional, flawed approaches to managing the claims denial appeal process, managed care organizations can avoid spending excessive time and effort by creating a system that satisfies key success criteria.
Peer Review Analysis, Inc., Boston, MA.
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D003659:Decision Making, Organizational; D007345:Insurance Claim Review / Q000458:organization & administration*; D008329:Managed Care Programs / Q000458:organization & administration*; D010934:Planning Techniques; D014481:United States; D014600:Utilization Review / Q000458:organization & administration*