Slide Decks

How Successful Audits Identify Claims Leakage and Recover Lost Revenue Webinar Slides

Ensure Your Plan is Submitting Accurate Risk Score Data

Download the slides from our presentation, How Successful Audits Identify Claims Leakage and Recover Lost Revenue, covers how risk-bearing organizations can recover lost revenue due to claims leakage by identifying the common causes and ways to remediate them.

Key Topics Covered:
  • Expectations plans should have for RAPS/EDS reconciliation
  • Effectively reconciling submissions in time for sweeps
  • Indications of data leakage that affect claims and encounter submissions
  • How best to conduct a RAPS/EDS reconciliation audit
  • Results of recent RAPS/EDS audits
  • Pilot promotion – 2019 DOS Claims Submission Audit

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