A method for detecting errors in discounted fee-for-service payments by insurance companies.
In order to discover and correct inaccurate payments received from insurance companies, a practice requires a plan for the systematic, efficient, and prompt monitoring of receipts. When any such discrepancies are detected, the physician can query the insurance company and correct the problem. Once the system is in place, it behooves each physician to look at the results at least weekly. Monitoring receipts requires interest, know-how, and persistence in the face of ever-confusing payment methodologies. This paper explains one such plan for detecting and correcting inaccurate insurance company payments.
Mujtaba
F
F
Bowdoin College, Brunswick, Me., USA.
Sullivan
E
E
Lee
K J
KJ
D003237:Connecticut; D005245:Fee Schedules; D018588:Fee-for-Service Plans / Q000191:economics* / Q000592:standards; D006801:Humans; D007349:Insurance, Health, Reimbursement / Q000191:economics* / Q000592:standards; D020399:Practice Management / Q000458:organization & administration*; D012308:Risk Management / Q000379:methods*; D012680:Sensitivity and Specificity; D013223:Statistics as Topic