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MGT655: Analyzing and Improving Hospital claims

Mar 2, 2022 | Business Finance - Management | 0 comments

Mar 2, 2022 | Business Finance - Management | 0 comments

MGT655: 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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