Analyzing and improving hospital claims

please review attachment (mgt655_smac) complete highlighted sections:

This paper will discuss the hospital billing paper claims process and the recommendation is to improve the process by processing the claims electronically.

Introduction

Literature review section

Body of work – Six Sigma

Define

Measure

“Before” flowchart (Required)

Process Chart (Required)

Work Measurement Techniques

Surveys

Analyze

Checklist (Required)

Pareto Chart (Required)

Cause and Effect Diagram (Required) (Place last)

Histogram

Bar charts

Scatter Diagram

Graphs

Improve process performance by addressing and eliminating the root causes through Process redesign.

Creative solutions based on the analysis:

Controlthe improved process and future process performance.  Sustain the gains!

Conclusions

Recommendations

Ethic and/or Social Responsibility

textbook: Krajewski, L., Malhotra, M., & Ritzman, L. (2019). Operations management: processes and supply chains (12th ed.). Upper Saddle River, NJ: Pearson Prentice Hall. (ISBN: 9780134741062)

resources:

https://medcitynews.com/2013/04/paper-based-billing-services-vs-electronic-medical-billing-services/

https://www.medicalbillingandcoding.org/electronic-vs-paper-coding/

https://www.healthcarefinancenews.com/news/technology-key-curbing-rate-claims-denials-hospitals-health-systems

https://www.healthcarefinancenews.com/news/revenue-cycle-leaders-share-top-3-ways-reduce-days-accounts-receivable

https://www.medicalbillingandcodingonline.com/medical-billing-claims-process/

https://revcycleintelligence.com/news/hospitals-write-off-90-more-claim-denials-costing-up-to-3.5m

also resources are attached.

sample of a paper do not use to cite is also attached

you can add additional resources but must cite them







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