Describe one way that claim submissions can be improved and what control procedures you will put in place to monitor claims to ensure payments are received..
Describe one way that claim submissions can be improved and what control procedures you will put in place to monitor claims to ensure payments are received.
Original Post:
Refer to the payment determination in the textbook. Review the process by which hospitals submit claims for reimbursement from Medicare-related programs. Then, assuming the role of a healthcare administrator of a hospital, imagine that your office is having difficulty tracking reimbursed claims. Describe one way that claim submissions can be improved and what control procedures you will put in place to monitor claims to ensure payments are received.
When responding to your classmates, examine the control mechanisms they identified. Compare and contrast those mechanisms with the ones you chose and discuss how either control mechanism may be modified to be more efficient.
Attached are two of my classmates responses to this original post. Please reply to both in 1-2 paragraphs and 1-2 references. Also, attached in rubric for assignment.
