Articles Tagged With: precertification
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Revamped Processes Prevent Admission Notification Denials
Some patients clearly meet the medical criteria for a hospital admission. Despite this, the health plan refuses to pay the claim — because staff did not notify the health plan soon enough.
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There's Got To Be A Better Way
Each month, Baptist Health System handles more than 1,500 requests from physician offices to obtain authorizations for scheduled services.
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System made changes to stop ‘no authorizations’
Methodist Le Bonheur Healthcare made changes to prevent clinically related denials.