Discover how to create a world-class Appeals and Grievances department
The purpose of this eBook is to equip you with a “GPS system” that guides your healthcare organization to reach critical A&G goals, as well as highlight the fundamental technology elements your system should contain, to achieve best-in-class results. After reading Appeals and Grievances for Health Plans: an informative playbook on setting up a highly effective Appeals & Grievances department, your health plan will be empowered to implement:
- The 5 Keys to a Successful A&G Department
- The 7 Pillars of a Complete A&G Solution
Whether trying to elevate CMS Star Ratings, create effective dashboards and reports, or improve A&G letter management, this eBook will serve as a critical desktop companion to help you deliver a new level of member services that ensures better member experiences.