Episode 11 - How Clinical Validation Is Good For Payers, Providers, And Patients From The Trenches: A Healthcare Analytics podcast

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Tech Health Plans Cotiviti

Innhold levert av Cotiviti. Alt podcastinnhold, inkludert episoder, grafikk og podcastbeskrivelser, lastes opp og leveres direkte av Cotiviti eller deres podcastplattformpartner. Hvis du tror at noen bruker det opphavsrettsbeskyttede verket ditt uten din tillatelse, kan du følge prosessen skissert her https://no.player.fm/legal.

From the Trenches: A Healthcare Analytics Podcast « »
Episode 11 - How clinical validation is good for payers, providers, and patients

6y ago 7:40

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Innhold levert av Cotiviti. Alt podcastinnhold, inkludert episoder, grafikk og podcastbeskrivelser, lastes opp og leveres direkte av Cotiviti eller deres podcastplattformpartner. Hvis du tror at noen bruker det opphavsrettsbeskyttede verket ditt uten din tillatelse, kan du følge prosessen skissert her https://no.player.fm/legal.

When a health plan denies a claim, the provider wants to know why it was denied. Sometimes, the answer is that a modifier appears to have been used inappropriately, which Cotiviti detects using a process we call clinical validation. And as it turns out, clinical validation doesn’t just lead to better outcomes for the payer, but also the members and providers that it serves. On the latest episode of Cotiviti's “From the Trenches” podcast, we talk with John Neumann, registered nurse and clinical consultant for Cotiviti’s Payment Accuracy solutions.

… continue reading

18 episoder

#Tech #Health Plans #Cotiviti

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Episode 11 - How clinical validation is good for payers, providers, and patients

From the Trenches: A Healthcare Analytics Podcast

13 subscribers

published 6y ago

Del

MP3•Episoder 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 (1y 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.

Innhold levert av Cotiviti. Alt podcastinnhold, inkludert episoder, grafikk og podcastbeskrivelser, lastes opp og leveres direkte av Cotiviti eller deres podcastplattformpartner. Hvis du tror at noen bruker det opphavsrettsbeskyttede verket ditt uten din tillatelse, kan du følge prosessen skissert her https://no.player.fm/legal.

When a health plan denies a claim, the provider wants to know why it was denied. Sometimes, the answer is that a modifier appears to have been used inappropriately, which Cotiviti detects using a process we call clinical validation. And as it turns out, clinical validation doesn’t just lead to better outcomes for the payer, but also the members and providers that it serves. On the latest episode of Cotiviti's “From the Trenches” podcast, we talk with John Neumann, registered nurse and clinical consultant for Cotiviti’s Payment Accuracy solutions.

… continue reading

18 episoder

#Tech #Health Plans #Cotiviti

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