January 18, 2017

Reimbursement denials diminish with more precise precertification

By: OR Manager
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With no increases in reimbursement on the healthcare horizon, the leadership team at Advocate Good Samaritan Hospital in Downers Grove, Illinois, knew they needed to maximize revenue capture. The team, including Katrina Spears, MAOL, manager of business and informatics, used Lean methodology to improve precertification and reduce denials, resulting in a 1-year savings of $213,252.

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