Contracting to improve your revenue cycle performance.
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.
Welter
Terri L
TL
ECG Management Consultants, Inc, Arlington, VA, USA. twelter@ecgmc.com
Semko
George A
GA
Miller
Tony
T
Lauer
Roberta
R
D032982:Contracts / Q000191:economics*; D004469:Economics, Hospital / Q000458:organization & administration*; D017598:Efficiency, Organizational / Q000191:economics; D005377:Financial Management, Hospital / Q000379:methods* / Q000458:organization & administration; D006801:Humans; D020416:Outsourced Services / Q000191:economics