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Greater Claims Data Scrutiny Could Save Hospitals $800M

Margaret Dick Tocknell, for HealthLeaders Media, March 21, 2012

Among Mission's cost savers: It reduced its cycle time for claims by 70% by clarifying documentation requirements and shifting from paper claims to electronic submissions.

For its part, Blue Shield and has just announced a collaboration with the Hospital Council of Northern and Central California, which will add about 160 hospitals to the POET system. Blue Shield is also piloting the process with 30 physician groups.

The process is part of an effort to "break down silos," explains Martinez. "A lot of claims problems are because hospitals and payers "just speak different languages."


Margaret Dick Tocknell is a reporter/editor with HealthLeaders Media.
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1 comments on "Greater Claims Data Scrutiny Could Save Hospitals $800M"


Andrew Fitzpatrick (3/23/2012 at 10:59 AM)
This is a great initiative, clearly providing evidence that sharing information between plans and provider reducse the adminstrative costs to both trading partners. I look forward to a follow-up once the central and northern California hospitals participate in POET.