how do ckean claims impact health care organizations? what are the risks to tbe billing process...

how do ckean claims impact health care organizations? what are the risks to tbe billing process if claims are not clean? Provide examples.

Expert Solution

Submitting clean claims is one of the most important ways that a diagnostic organization can ensure payment in a timely manner from both private and government insurance payors. Receiving the maximum reimbursement the first time a claim is submitted is crucial to achieving desired operating margins.

Nightingale answered 1 year ago

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Part 1: Topic Research and Selection Begin this process by researching what health care organizations are doing or attempting to do to increase profitability. Remember, profitability can be improved from many different angles. A nonexclusive list of potential ways would be adding additional services, decreasing costs, increasing the amount of services that are provided, or implementing a quality improvement program that qualifies for incentive monies. Check trade journals or professional discussion boards, or reach out to existing health care managers....

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Part 1: Topic Research and Selection Begin this process by researching what health care organizations are doing or attempting to do to increase profitability. Remember, profitability can be improved from many different angles. A nonexclusive list of potential ways would be adding additional services, decreasing costs, increasing the amount of services that are provided, or implementing a quality improvement program that qualifies for incentive monies. Check trade journals or professional discussion boards, or reach out to existing health care managers....

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how do ckean claims impact health care organizations? what are the risks to tbe billing process...

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