Posts Tagged ‘claims audit’
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.
Read MoreThe Benefits of a Medical Claims Audit
There are numerous approaches and benefits of a medical claims audit. Understand the types of medical claims audits and how they help everyone involved.
Read More10 Facts about HEDIS Reporting & Measurements
HEDIS measures are revised every year and are strictly defined and are the reporting guidelines for gaps in care. Take a look at the 10 facts about HEDIS reporting our expert team has compiled.
Read MoreMedicare Risk Adjustment (MRA) Key Dates and Best Practices
Get the facts about Medicare Risk Adjustment (MRA) and the best practices around implementation. Don’t let MRA scare you off, get it right with our help.
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