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Results for “Insurance Claim Review”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

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At least 451 records · Page 25Linked to original sources
PubMed1988

Fresh terrain for medical record practitioners.

This article describes hospital bill audits and their purpose, what information is needed, when and where the audits are carried out, and the roles medical record practitioners can perform in this process.

Accounting↗
PubMedDate not supplied

The effects of sponsorship on PPO performance.

In trying to build a "better health care mousetrap," hospitals, physicians, insurers, employers and other are sponsoring PPOs. Two Mercer-Meidinger-Hansen consultants who specialize in evaluating managed care plans discuss what prompts various sponsors to establish a PPO and how purchasers can discern the effects of these motivations on the plan's objectives, operational components and outcomes.

Cost Control↗
PubMed1988

The clinical consequences of payment limitations: the experience of a private psychiatric hospital.

In the search for cost efficiency, psychiatric patients are experiencing greater restrictions on their insurance benefits. Managed psychiatric care may provide a useful alternative to arbitrary benefit limits, but may also interfere with treatment, especially if there is a disagreement between the manager and the responsible clinician. Three clinical vignettes are presented and the implications of possible premature discharge described as a first step in building a research agenda on the clinical consequences of managed psychiatric care.

Baltimore↗