Clean Claims, More Money

Citation metadata

Date: May 2001
From: Health Management Technology(Vol. 22, Issue 5)
Publisher: Endeavor Business Media
Document Type: Article
Length: 1,610 words

Document controls

Main content

Abstract :

West Florida Medical Center Clinic (WFMCC) of Pensacola, FL, managed to reduce its claims denial rate by 70% due to a number of administrative measures. The facility, with its 145 physicians and 13 satellite facilities in Florida and Alabama, reports that with 50% of its patients covered by Medicare, claims denials were becoming a serious problem. With the clinic generating between $13 million and $15 million in charges every month, the 10 percent of claims consistently denied by carriers for coding issues amounted to substantial uncollected revenues. The clinic turned to Claims Editor Professional from ADP Context, a developer of insurance claims procsesing software.

Source Citation

Source Citation   

Gale Document Number: GALE|A74571490