Vimarsana
Biggest News Aggregation in the World

First Call Resolution News Today : Breaking News, Live Updates & Top Stories | Vimarsana

Stay updated with breaking news from First Call Resolution. Get real-time updates on events, politics, business, and more. Visit us for reliable news and exclusive interviews.

Top News In First Call Resolution Today - Breaking & Trending Today

SFGTV August 17, 2014 - Vimarsana News

SFGTV August 17, 2014

Accuracy. And again, things shading where uhc did much better with over all accuracy, from improving doing better than eight of the past, since the audits that we have completed. The payment accuracy, and this is one, where uhc barely missed our standard at 9748 uhc, our standard is 9950. So, because of the frequency, of errors, just barely missed or satisfaction level. And here is where we get into the over payment and the under payments for the errors. And for insample we have a total of 12 errors and 9 insample errors and three out of sample errors. Of the errors identified, four of the err...

SFGTV August 18, 2014 - Vimarsana News

SFGTV August 18, 2014

Provide us with information to determine what is the over all impact. And are the over payments or under payments . And so that is just. Why dont you apply it . We dont believe in extrapolating out to say, because we had a 5 error here that means that it is 5 Million Dollar error in the universe. Why not . So it is just our they have done an analysis and determined that is not the process that we utilize and but we do work one on one. We do work one on one with the administrators to determine, the over all impact. And in the universe. So it does not mean that we stop at the sample, we work clo...

SFGTV August 14, 2014 - Vimarsana News

SFGTV August 14, 2014

Of the dollar amount, right, exactly. And payment is just that an error was made. And any kind of payment error in the sample and so anything that is origin, it could be of any dollar size, and counts as an error. And over all, it is all kinds of errors, financial or payment or nonpayment error and we are looking at over Member Experience and you can have a situation where the claim is miskeyed for a date of service. And that particular claim may pay the right amount, but it could lead to a financial error at a later date because it could cause the duplicate claims to be paid and such, and so ...

SFGTV August 15, 2014 - Vimarsana News

SFGTV August 15, 2014

If everyone is up by 5 and it happens 55,000 times and we dont audit that because it is too small and we dont appreciate the frequency that leads to a big dollar amount. So, it is we randomly select within the each strata, bucket but we see a lot of the most frequent claims because there is a high volume. If you look at the high volume of claims and normally see the physical therapy and the office claims in the universe, those are going to end up in the sample. Through that random process. So you have your dollar strata and we have such a large portion of our selection, that are in that zero p...

Umpqua Watersheds brings outdoor community venue, stage - Vimarsana News

Umpqua Watersheds brings outdoor community venue, stage

A small, wooden stage pushed up against a brown, concrete wall in the back of a parking lot downtown Roseburg will soon be transformed into a community gathering place called