Using case management to improve claims payment
Micheletti, J.A.; Mevert, S.; Shlala, T.J.
Healthcare Financial Management Journal of the Healthcare Financial Management Association 49(5): 38-40; 42-43
1995
ISSN/ISBN: 0735-0732 PMID: 10142192 Document Number: 444230
Payers increasingly are subjecting claims to intensive review in an attempt to control amounts paid for healthcare services. An internal case management program, however, can help providers better understand and respond to the review techniques employed by payers as well as streamline overall claims processing.