Growing number of processed claims are returning as denied

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Reference no: EM13991712

You find out from billing that a growing number of processed claims are returning as denied. Upon further investigation, you find that the root cause seems to be the inconsistency of checking eligibility of patients. Goal – Develop a solution to reduce the number of denied claims and that utilizes the team more to assist in accomplishing the goal.

Opportunity for Improvement (Problem Statement):

Who needs to be given opportunity for input?

Decision making process:

Recommended Action Steps:

Reference no: EM13991712

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