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In recent years, there has been a growing acceptance of a radical approach to medical mistakes and errors that occur in healthcare facilities and organizations: Investigate, then apologize and settle the claim if an individual or the system was found to be at fault.
This novel approach to claims evaluation runs counter to how disputes have been traditionally resolved, with patients forced to bring malpractice lawsuits, healthcare organizations forced to defend themselves, and all parties forced to wade through years of litigation before reaching a resolution.
“Was our care reasonable, and did it met the standard of practices?” When healthcare organizations are able to quickly and objectively answer these two questions, the decision to settle with the patient or defend against the claim becomes much clearer.
Benefits Of Early Evaluation Of Medical Claims
The benefits of early evaluation of medical claims include:
- improved patient safety
- identification of root causes and issues
- correction of problems before they compound
- increased accountability
- cost-savings
- more effective risk management
- development of legal strategies