Health Section: Medicare Advantage Experience Data: Pitfalls and Concerns Beyond ASOP #23


Manage episode 232812419 series 30328
By Discovered by Player FM and our community — copyright is owned by the publisher, not Player FM, and audio streamed directly from their servers.

Successful Medicare Advantage data maintenance involves addressing data quality issues, rectifying adjudication errors, comparing to internal and external benchmarks and making the necessary adjustments to comply with CMS guidelines. This podcast discusses how Medicare Advantage plans can collect, review, and react to their claims experience to optimize financial results and create efficient processes.

325 episodes available. A new episode about every 7 days averaging 20 mins duration .