title: Denials drop when CMs, MDs act as a team.
abstract: A study at Good Samaritan Hospital in Dayton, OH, determined that denial rates are lowest when case managers (CMs) and physicians collaborate on patient status. - Study analyzed denials during three different arrangements for determining patient status. - Biggest number of denials occurred when physicians acted alone. - When CMs set status, denials dropped in 7 of 10 DRGs with 2% or more denials.
mesh_terms: D019090:Case Management; D003299:Cooperative Behavior; D004469:Economics, Hospital; D007345:Insurance Claim Review; D009820:Ohio; D019982:Organizational Case Studies; D010820:Physicians; D014481:United States