Real-time claim adjudication: deal or no deal?
This article will discuss one practice's quest to improve its financial health through implementing a new process called real-time claim adjudication. The article presents actual processes as implemented, describing in detail the "nuts and bolts" from an operations perspective. Finally, the discussion summarizes the many positive impacts the practice has experienced, including obvious financial rewards and unexpected accolades from patients.
Davis-Jacobsen
Doral
D
Physician Services Unit, Dixon Hughes, PLLC, 500 Ridgefield Court, Asheville, NC 28802, USA. ddavis@dixon-hughes.com
Plemons
Chris
C
D000067:Accounts Payable and Receivable; D006801:Humans; D007344:Insurance Claim Reporting; D007345:Insurance Claim Review; D019982:Organizational Case Studies; D017060:Patient Satisfaction; D011216:Practice Management, Medical / Q000191:economics*; D013022:South Carolina; D013997:Time Factors; D014481:United States