Solving the claims conundrum.
Healthcare providers are being pushed to provide better service, yet maintain costs; and one of those costs is claims processing. There are many hurdles providers must jump over in the transition from capitation to "fee for service" billing structures, as well as potential issues surrounding new claim payment timeliness legislation. This article presents some possible solutions for making the claims process more efficient.
Smith-Shoemake
Mary Anne
MA
D002204:Capitation Fee; D003284:Contract Services; D017598:Efficiency, Organizational; D018588:Fee-for-Service Plans; D005376:Financial Management / Q000379:methods*; D006801:Humans; D007345:Insurance Claim Review / Q000458:organization & administration*; D008329:Managed Care Programs / Q000191:economics*; D012051:Reimbursement Mechanisms; D014481:United States