Using DMAIC to Reduce Hospital Insurance Claim Denials and Write-Offs

The Results

With its new process and training program in place, Mercy Medical Center has reduced outpatient claim denials and write-offs to the order of about $350,000 per year, and the number of man hours required to fix claim errors has been reduced by 62 percent. And it might not surprise you to know that other parts of the medical center (inpatient and emergency room operations) are looking to replicate the system so they can prevent the loss of revenue in those areas too.

For more information, contact Jodee Bennett, Breakthrough Management Group Inc., www.BMGi.com , or call 1-800-4-6-Sigma.

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