How can hospitals address issues of third-party payer reimbursement?

I’m wondering where the fault lies in fraudulent or inaccurate health claims. Do commercial payers charge too much or do the hospitals? Are they equally culpable?

How can hospitals address this issue to ensure that charges are being submitted and reimbursed properly? Not looking for a cookie cutter response; a link to any articles or reports on this would be greatly appreciated. Of course, summary is also very helpful

Thanks!

Everyone is part of the problem. The cost of health care has escalated, which leads to abuse of the system. Personally I think the only solution to the problems in health care in the USA would be to move to universal health care, but that move is made difficult because health care has become a business, not a service. Follow the money – see who is making a lot of money around this issue and you will see where the problem is and it will also point to the solution.

This entry was posted on Thursday, April 7th, 2011 at 7:01 am and is filed under hospitals. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

One Response to “How can hospitals address issues of third-party payer reimbursement?”

pelican on April 7th, 2011 at 12:12 pm

Everyone is part of the problem. The cost of health care has escalated, which leads to abuse of the system. Personally I think the only solution to the problems in health care in the USA would be to move to universal health care, but that move is made difficult because health care has become a business, not a service. Follow the money – see who is making a lot of money around this issue and you will see where the problem is and it will also point to the solution.
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Hospitals