PubMed · 2376516
The use of utilization review nurses to decrease reimbursement denials.
Abstract
Since the implementation of HCFA forms 484, 486, and 487, the home health industry has experienced a dramatic increase in the rate of reimbursement denials. One agency responded by developing a utilization review program that has successfully reduced technical and medical denials.
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C L Stone, K Krebs. The use of utilization review nurses to decrease reimbursement denials.. https://doi.org/10.1097/00004045-199005000-00004
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