Year: 2024
Type: article
Abstract: This comprehensive article explores the transformation of Appeals and Grievances (A&G) processes in healthcare organizations by implementing advanced technological solutions and workflow optimization strategies.The article examines how artificial intelligence, machine learning, and robotic process automation technologies revolutionize case management, documentation handling, and compliance monitoring in healthcare settings.It investigates the impact of system integration architectures, process optimization methodologies, and quality assurance mechanisms on operational efficiency and patient satisfaction.The article also evaluates the financial implications of implementing modular automated systems and their effect on resource utilization.Furthermore, it analyzes the role of change management strategies in successful Narendra Maddukuri
Author: Narendra Maddukuri
Institution: Centene Corporation (United States)
Language: English
Subfield: Industrial and Manufacturing Engineering
Field: Engineering
Domain: Physical Sciences
Open Access status: diamond
OpenAlex ID: W4405855025