Accession Number:

ADA516635

Title:

Insurance Claims: A Study in Denials

Descriptive Note:

Final rept. Jun 2006-Jun 2007

Corporate Author:

BAPTIST HEALTH SYSTEM SAN ANTONIO TX

Personal Author(s):

• Goding, Ronald T.

Report Date:

2009-11-17

Pagination or Media Count:

45.0

Abstract:

The study was to analyze the insurance claim denials to determine if Baptist Health System BHS of San Antonio, TX was increasing declining or decreasing improving their denial rates. The data were obtained from the BHSs financial systems program. The model tested to be statistically significant using the Total Denial ANOVA table. The NULL hypothesis will be rejected and the ALTERNATE hypothesis will be accepted. F4.7 4,115p.001. The BHS has decreased their Overall denial rates by approximately 50 over the last 12 months April 2006 to March 2007 from the previous 12 months April 2005 to March 2006. BHS also shows a positive downward trend in all the sub-study groups facilities, denial categories and patient categories.

Descriptors:

• *MEDICAL SERVICES
• *INSURANCE
• *FINANCE
• PRODUCTIVITY
• HOSPITALS
• AREA DENIAL
• NULLS(AMPLITUDE)
• RATES
• HEALTH
• HYPOTHESES

Subject Categories:

• Economics and Cost Analysis
• Medicine and Medical Research

Distribution Statement:

APPROVED FOR PUBLIC RELEASE