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Understanding the Overpayment Recovery Process
Understanding the overpayment recovery process helps health plans balance the financial fitness of a health plan with effective delivery of healthcare.
Hospital Readmission Reduction Program Audit
Understand the ins and outs of a hospital readmission reduction program audit and the complexities around DRG readmission policies from the FRG experts.
Data Mining for Multiple Diagnostic Radiology Overpayments
A recent audit of National Medicare Health plan, found over $400,000 in overpayments in a 12-month period for multiple diagnostic radiology claims.
Medical Risk Adjustment in Global Capitation Arrangements
Gain the framework needed for understanding medical risk adjustment and the business processes required to perform under a global capitation arrangement.