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  Published Paper Details:

  Paper Title

PROCESS MAPPING OF INSURANCE DEPARTMENT AND ANALYSIS OF DENIALS WITH RESPECT TO DEPARTMENTS

  Authors

  Dr.Renny Thomas Iype,  Dr.Ankita George,  Ashwini Malviya,  Tony Thomas

  Keywords

Insurance, denials, process mapping, TPA, cashless delay

  Abstract


ABSTRACT: BACKGROUND: The primary purpose of the study is to assess the process mapping of the insurance department. Thereafter the need based assessment and analysis was done according to the specific case. Much of the perceived negative perception regarding insurance claims denials leads to a loss of 3-5% of net revenue to each hospitals every year. The current study describes the key causes for revenue losses, insurance claims denials with respect to department wise and insurance denials and rejection rate with respect to covid and non covid times. METHOD: The observational descriptive survey type of study was conducted on 176 cashless in patients through purposive sampling technique for a period of two months CONCLUSION: The major conclusions derived from the present study are: 1. The turnaround time of the cashless in patients was higher as compared to cash. 2. The department wise delay in cashless treatment was found to be higher in gynecology and obstereitics 3. There was quite less difference in rejection rate between Covid and Non-Covid times.

  IJCRT's Publication Details

  Unique Identification Number - IJCRT2108210

  Paper ID - 210912

  Page Number(s) - b855-b863

  Pubished in - Volume 9 | Issue 8 | August 2021

  DOI (Digital Object Identifier) -   

  Publisher Name - IJCRT | www.ijcrt.org | ISSN : 2320-2882

  E-ISSN Number - 2320-2882

  Cite this article

  Dr.Renny Thomas Iype,  Dr.Ankita George,  Ashwini Malviya,  Tony Thomas,   "PROCESS MAPPING OF INSURANCE DEPARTMENT AND ANALYSIS OF DENIALS WITH RESPECT TO DEPARTMENTS", International Journal of Creative Research Thoughts (IJCRT), ISSN:2320-2882, Volume.9, Issue 8, pp.b855-b863, August 2021, Available at :http://www.ijcrt.org/papers/IJCRT2108210.pdf

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ISSN: 2320-2882
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Journal Starting Year (ESTD) : 2013
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ISSN and 7.97 Impact Factor Details


ISSN
ISSN
ISSN: 2320-2882
Impact Factor: 7.97 and ISSN APPROVED
Journal Starting Year (ESTD) : 2013
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