title: Addressing hidden financial risk.
abstract: Managing low-dollar, high-volume claim denials associated with outpatient procedures is a challenge for many hospitals because of the expense involved in manually reviewing such denials. These denials often are the source of "hidden loss" for hospitals. For some hospitals, the most practical, cost-effective approach for managing low-dollar, high-volume claim denials will include the use of automated systems to monitor and highlight denials and expose trends.
authors.affiliation: GRC Solutions, SAI Global Compliance, Alpharetta, GA, USA. jan.kruger@saiglobal.com
authors.forename: Jan
authors.initials: J
authors.lastname: Kruger
authors.affiliation: North Highland Co, Roswell, GA, USA.
authors.forename: Jan
authors.initials: J
authors.lastname: Kruger
mesh_terms: D004469:Economics, Hospital; D007349:Insurance, Health, Reimbursement / Q000191:economics*; D012308:Risk Management / Q000379:methods*; D014481:United States