Patient Access System: Finding Weaknesses In ABC Practice

Decent Essays
In order to find the weakness in the ABC practice, we classified and rearranged the data. After that we have tables in the appendixes. From the tables, it’s easy to tell that Patient Access System is probably having some problems for it had as two times as other two claim denials, which was about 56.1 percent of the total. When sorting by payers, BCBS stands out for about 50.8 percent of the total claim denials came from BCBS. We will discuss about these two issues and other findings below. Checking the details of Patient Access System, the two parts that cost most are “procedural requires authorization” ($8,800) and “Services not covered” ($5,530). To improve these parts and control the necessary cost, managers need to focus on pre-registration

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