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Billing Accuracy and Clinical Validation

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8 tips to help you find the FWA needle in the haystack with Excel

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Advanced analysis and collaboration drives >$1 million overpayment recovery success for Health Partners Plans

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The insider's guide to clinical appropriateness

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SIU Services

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Analysis: the financial impact of the 2019–2020 CMS-HCC risk adjustment model changes

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The continuous quest for quality

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Get more bang for your buck: adjusting pre-pay approaches in a changing landscape

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Get the facts: the clinical and financial impact of the CMS PY 2020 risk adjustment model

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How to step up claim overpayment recovery results

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Data integration and the emergence of answers to unsolvable problems

Podcast

The keys to successful claim overpayment recovery

Podcast

How to sharpen your inpatient auditing program with better chart selection

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Don’t lose your edge: commercial risk adjustment best practices

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Key takeaways from the 2020 Medicare Advantage and Part D Rate Announcement and Final Call Letter

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Excellus BlueCross BlueShield's data lake journey

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Powerful, nimble healthcare data analytics provide market differentiation for The Partners Group

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A path to success in the changing data management landscape

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10 tips for a seamless commercial risk adjustment program

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Cotiviti Solutions Flipbook

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Do this one thing right: make data a part of your business value

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Medical Intelligence for Employers and Brokers

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Complete encounter and supplemental data submissions

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Contract Compliance

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Medical Record Coding

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Are your improper payments hiding in plain sight?

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Medical Record Retrieval

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Submissions

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Suspect Analytics

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In-Home Assessments

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Fraud, Waste, and Abuse Solutions

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Payment Responsibility

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Clinical Chart Validation

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Medical Record Abstraction

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Network Value

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DxCG Intelligence

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Medical Intelligence

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Star Navigator

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Quality Intelligence

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Decoding the 2019 CPT® changes

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Quality and Performance solutions

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Payment Accuracy solutions

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Risk Adjustment solutions

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Survey: the changing quality improvement landscape

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Accurate medical charting and coding

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The evolution of DxCG, the gold standard in risk adjustment and predictive modeling

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A new ecosystem for payer intelligence: How data lakes could feed insights for improved health

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Validating clinical claims without medical record review

Podcast

Fighting healthcare fraud and abuse with NHCAA

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HEDIS measure changes on the horizon

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High-quality member-provider connections

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The three fundamentals of risk adjustment success
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