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JCOM Abstract


J Clin Outcomes Manage 
2000 Mar;7(3):38-42
An emergency case management program to prevent payment denials
Traber KB, Allison SR, Reilly MA

Lost revenue from managed care payment denials for reason of wrong delivery site had become a significant problem at the Hospital of the University of Pennsylvania. To reduce denied reimbursements, the hospital implemented a case review process that applied existing admission criteria to requests for bed placement.

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