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Using DMAIC to Reduce Hospital Insurance Claim Denials and Write-Offs -- Case Study
A 917-bed, non-profit hospital system that employs more than 5,600 people has a very high percentage of insurance claims that were denied due to incorrect patient demographic information. Using various Six Sigma tools, out of 386 charts audited 78.2 percent of the denials were due to the presence of incorrect demographic information, with almost half due to inaccurate insurance information.
After implementing a new process and training programs, the hospital has reduced outpatient claim denials and write-offs to the order of about $350,000 per year, and the number of man hours required to fix claim errors has been reduced by 62 percent.View Complete Case Study
From Innovation to Reality -- What it Takes To Put Ideas Into Action
Sometimes the hardest part of innovation is making the breakthrough you envision. Isn't that where innovation always falls down? Right between the Big Idea and the ability to put that idea into action?
The fact is that every innovation is really a total solution -- all at once a great idea, a great plan for implementing that idea, and the efficient actualization of that idea as per the plan. How well you bring these three elements together determines how successful you are at innovation. More...
SixSigma Revitalization -- How to Put the Zing Back in Your Performance Excellence Programs
Are you facing diminishing returns from Six Sigma efforts and wondering where to turn? Perhaps the reason is a lack of strategic alignment, or a lack of leadership support. Maybe it is simply that the "lowest hanging fruit" has been picked and your company is struggling to get to the next level of success. Regardless of the reason, there are a number of things BMG can do to help get your program back on track. Read on to see if your team is due for a little revitalization.
Has your organization implemented Six Sigma methodologies delivering organizational excellence? If so, entries are welcomed for the 12 Award Categories from all types of organizations across the globe. Breakthrough Managment Group is pleased to announce its premium sponsorship of The Six Sigma CEO of the Year Award to be held in conjunction with WCBF's Global Six Sigma Summit, June 27-30, 2006, at The Venetian Resort Hotel, Las Vegas.
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You know that building Infrastructure for your deployment is key, but just how do you actually get started? Join BMG for an insiders look at the eHandbook, a powerful tool for designing and managing your performance excellence initiative.
