The challenge The Queen’s Medical Center is a renowned health system and Level I trauma center, recognized as a US News & World Report Best Regional Hospital and Best National Hospital. With 500 inpatient beds and numerous auxiliary services, the business office stays busy following up on the status of hundreds of thousands of claims. Although the vast majority are approved, notification wouldn’t normally occur until 45 days after service when payment or denials would arrive in the form of remittances. Jodilyn Mafua, Operations Manager for Hospital Billing, Queen’s Medical Center, knew her staffers’ time would be better spent focused almost exclusively on denied claims. “About 75% of our first-pass claims are approved, but until we know that, staff is spending up to seven minutes

Join for free to read