CIS 555 All Assignments CIS 555 All Assignments | страница 11

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medical-claims-reengineering
Case Study 1: Athens Medical Claims Reengineering
Due Week 8 and worth 80 points
Athens Administrators is an open-indemnity claims administration services organization. Athens
identified a growing trend of future medical claims within its client’s population. The trend had
begun to escalate and Athens decided that it was an important issue to bring to the client’s
attention and to jointly develop a strategy to address the growth of these claims. Athens looked
to modify and improve the processes and procedures that were being utilized to address these
claims. Read about what it did in the document titled “A Claim on the Rise: Future Medical”
located athttp://www.athensadmin.com/pdf/Athens-FutureMedical.pdf.
Write a four to five (4-5) page paper in which you:
Provide one (1) sample of a descriptive statement and one (1) sample of a prescriptive
statement from the case study descriptions.
Examine three (3):
goals for this case study.
obstacles for this case study.
alternative obstacle resolutions for this case study.
Identify five (5) normal and abnormal scenarios for this case as is.
Determine five (5) requirements that might need to be prioritized in view of resource
limitations.
Use at least three (3) quality resources in this assignment.Note: Wikipedia and similar Websites
do not qualify as quality resources.
Your assignment must follow these formatting requirements: