Episode 10 - How Risk Adjustment Coding Validation Gives Health Plans More Certainty From The Trenches: A Healthcare Analytics podcast

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Tech Health Plans Cotiviti

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From the Trenches: A Healthcare Analytics Podcast « »
Episode 10 - How risk adjustment coding validation gives health plans more certainty

6+ y ago 13:46

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Indhold leveret af Cotiviti. Alt podcastindhold inklusive episoder, grafik og podcastbeskrivelser uploades og leveres direkte af Cotiviti eller deres podcastplatformspartner. Hvis du mener, at nogen bruger dit ophavsretligt beskyttede værk uden din tilladelse, kan du følge processen beskrevet her https://da.player.fm/legal.

Compliance is becoming an increasingly difficult challenge for Medicare Advantage plans, especially when it comes to their risk adjustment programs. When CMS selects plans for a risk adjustment data validation (RADV) audit, they need to have a high degree of certainty that their diagnoses submitted for reimbursement are valid. So, what’s the solution? We look at the benefits of coding claim validation with Lesley Brown, Cotiviti vice president of Risk Adjustment.

… continue reading

18 episoder

#Tech #Health Plans #Cotiviti

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Episode 10 - How risk adjustment coding validation gives health plans more certainty

From the Trenches: A Healthcare Analytics Podcast

13 subscribers

published 6+ y ago

Del

MP3•Episode hjem

Fetch error

Hmmm there seems to be a problem fetching this series right now. Last successful fetch was on November 01, 2023 17:14 (1+ y ago)

What now? This series will be checked again in the next day. If you believe it should be working, please verify the publisher's feed link below is valid and includes actual episode links. You can contact support to request the feed be immediately fetched.

Indhold leveret af Cotiviti. Alt podcastindhold inklusive episoder, grafik og podcastbeskrivelser uploades og leveres direkte af Cotiviti eller deres podcastplatformspartner. Hvis du mener, at nogen bruger dit ophavsretligt beskyttede værk uden din tilladelse, kan du følge processen beskrevet her https://da.player.fm/legal.

Compliance is becoming an increasingly difficult challenge for Medicare Advantage plans, especially when it comes to their risk adjustment programs. When CMS selects plans for a risk adjustment data validation (RADV) audit, they need to have a high degree of certainty that their diagnoses submitted for reimbursement are valid. So, what’s the solution? We look at the benefits of coding claim validation with Lesley Brown, Cotiviti vice president of Risk Adjustment.

… continue reading

18 episoder

#Tech #Health Plans #Cotiviti

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