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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.
1. Opportunity for Improvement (Problem Statement):
2. Who needs to be given opportunity for input?
3. Decision making process:
4. Recommended Action Steps:
Verified Expert
Please find the enclose attachment which is a solution to the increasing problem of the denial of the medical claims that results in the decrease in the revenue total number of words are 600 and the referencing is done in the APA style.
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