ClaimHeader Issue Index

Issue list and summaries...

Synopses. Below are the synoses for each ClaimHeader Issue. The next issue will be published on November 15, 2007.

Q3 2007: Claims Attachments

Issue summary and other notes...

Article 1 Staple it to a Claim: Claims Attachments. What is are the current developments with claims attachments. How do they impact the claims process and how best to minimize that impact.

Q2 2007: Authorizations and Claims Adjudication

Issue summary and other notes...

Article 1 Claim Authorizations and Referrals. How do claims Authorizations and referrals impact the claims process and how best to minimize that impact.

Q1 2007: Quality and Decision Support Compliance

Issue summary and other notes...

Article 1 Quality in Claims. There is more to 'quality' than payment accuracy.

Article 2 Data Warehouses and HIPAA compliance. Best practices for manage HIPAA compliance and reporting environments.

CH Tip Finding good reps. Demand for good customer service reps is high.

Q4 2006: Adjustments and Claim Metrics

Issue summary and other notes...

Article 1 Auto-Adjudication. Measuring, tracking, and improving claims auto-adjudication (AA).

Article 2 Process Improvement Priorities. Best practices for identifying and prioritizing claims process improvement initiatives.

CH Tip FTE Savings Calculations. How best to measure the FTE reduction from that claims initiative?

Q3 2006: Adjustments and Claim Metrics

Issue summary and other notes...

Article 1 Claims Adjustments. Measuring, tracking, and improving claims turnaround.

Article 2 Decision Support in Claims. Best practices for setting up and managing a reporting environment in claims.

Q2 2006: Claims Turnaround and Decision Support

Issue summary and other notes...

Article 1 Claims Turnaround. Measuring, tracking, and improving claims turnaround.

Article 2 Decision Support in Claims. Best practices for setting up and managing a reporting environment in claims.

CH Tip Making Better Data Graphs. Graphs can be very powerful, especially when properly made.

Q1 2006: Auto-Adjudication and Process Change

Issue summary and other notes...

Article 1 Process Change. Why are claims process improvements so difficult to make and the strategies to help make them.

Article 2 Auto-Adjudication (AA) Definition. Why are claims process improvements so difficult to make and what strategies are there to help make the process easier to manage?

CH Tip Sorts and Priorities. Sort your spreadsheet, it helps your audience better see what's important.