Operator3

Policy 4.5. Claims Processing Measure

Claims Processing Measure

QA&I Indicator #4

Scope of Care/Service: Claims Processing

  • Rights, Responsibilities, and Ethics
  • Provision of Care, Treatment, and Service
  • Leadership
  • Management of Information

Indicator: To ensure correct internal billing and claims procedures, the Company will track all claims denied by Medicare and Medicaid each month as a percentage of the total number …




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