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Q: Discuss the admission and charge capture processes. Explain how these processes relate to the claim form data requirements on the UB-04.
A: One of the most common tools for analyzing your process is a Cause and Effect Diagram. This is a simple tool that will allow you capture all the potential causes for a particular effect. [ Causes are categorized by using the Six M's: Man, Machine, Method, Mother Nature, Materials, and Measurement. Example: Effect = Lost Bill Potential Causes of Lost Bill: * Man Man: 1) physician misplaces index
card, 2) billing offices misplaces index cards * Machine: 1) fax transmission failed 2) scanned image corrupted * Measurement: 1) manual reporting of activity, 2) incorrect manual reconciliation * Method: 1) current process does not validate receipt of transmission of bill 2) Process does not regulate security of index cards. IMPLEMENT IMPROVEMENT ACTIONS TO YOUR CHARGE CAPTURE PROCESS Now that you have analyzed your process it is time to implement changes to that process. This can range from simple tweaks to a complete overhaul of the process. Once again, let your findings lead you to develop a step by step plan that outlines each of the changes you want to make. ]
Expert answered|bongche|Points 3860|
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Asked 12/10/2012 7:31:31 AM
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