Open AccessGoldratt's Thinking Process Applied to Medical Claims Processing
Author(s) -
Lloyd J. Taylor,
Don Sheffield
Publication year - 2002
Publication title -
hospital topics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.202
H-Index - 21
eISSN - 1939-9278
pISSN - 0018-5868
DOI - 10.1080/00185860209598005
Subject(s) - adjudication , process (computing) , business process , center (category theory) , process management , health care , computer science , business , operations management , engineering , work in process , political science , law , chemistry , crystallography , operating system
The business operations of an insurance claims processing center and the healthcare industry it serves are complex in nature. The authors describe the process of claim filing and adjudication in a claims processing center, apply Eliyahu Goldratt's Thinking Process to that scenario, and recommend changes to improve the defined processes.
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