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Part I: Avoid claims rejections
A payer may delay or deny payment because of inaccurate or missing information in a submitted claim. Many contracts require payment within a specified period of time, for example, 30 days from submission of a "clean claim." How can healthcare service providers avoid claims rejections?
Part II: Ensure payment
The Medicare intermediary has returned a claim to a hospital because of an invalid diagnosis code (OCE-Outpatient Code Edit violation number one). This implies that the procedure performed is not supported by the diagnosis code. What action can the provider take to ensure payment?
Describe the eight general strategies in the business buying decision process.
Briefly discuss benchmarking as process improvement tool. Explain six types of benchmarking and give four reasons why some businesses have failed to derive maximum benefit from it.
I want help on writing a problem statement for my project...
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