Identify and describe different medical claims created byhealthcareproviders that are submitted to insurance companies for payment.

1. Why is it important for healthcare administrators to be very familiar with the claims process and ensure their facility's claims process is accurate and reliable?
2. As an executive for the Wisconsin Physicians Service (WPS) Insurance Corporation, after reviewing the case, what recommendations would you propose to the Board of Directors that they should prepare for as a response from the Office of the Inspector General (OIG)
3. What should WPS do with CMS to improve the process?
4. How would you implement your improvement plan?

Answer the questions provided. Your responses should be detailed and demonstrate significant depth in critical analysis and proposed solutions. 

Case study link,

 https://www.medicalbillingandcoding.org/billing-training/

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Answer rating: 100% (QA)

Answer Medical claims submitted to insurance companies for payment can vary widely depending on the services rendered and the specific policies of both the healthcare provider and the insurance compan... View the full answer