Solving the claims conundrum.

  title={Solving the claims conundrum.},
  author={Mary Anne Smith-Shoemake},
  journal={Managed care quarterly},
  volume={10 4},
Healthcare providers are being pushed to provide better service, yet maintain costs; and one of those costs is claims processing. There are many hurdles providers must jump over in the transition from capitation to "fee for service" billing structures, as well as potential issues surrounding new claim payment timeliness legislation. This article presents… CONTINUE READING