Skip to main content

Maximize the retrospective value chain

Learn the key questions to ask your potential payment integrity partner to maximize the effectiveness of your retrospective payment accuracy programs.

Download PDF

Before moving post-payment concepts to pre-pay, a health plan’s retrospective validation
program must be rock solid. Start your efforts by shoring up your coordination of benefits,
contract compliance, data mining, and clinical chart review programs, finding the right
partner to optimize these critical functions in tandem with one another. Here are the important questions to ask your payment integrity partner.