How to Reduce Claims Leakage in Non-Par Provider Networks
Back by popular demand, we will continue our live webinar series on managing and monitoring non-par provider networks effectively and efficiently in a COVID world. In this session, we will focus on the costs of claims leakage and best practices for reducing at a time when health plan leadership is looking for it most.
Please note that recorded webinars are not eligible for CEUs. For a list of all eligible webinars, check out our upcoming webinars!
More Resources to Help You Grow and Succeed
PECOS plays a critical role in facilitating communication and data accuracy between providers and CMS. It powers several datasets indicating providers' statuses and standing with CMS.
The Interoperability Rule, currently slated to go into effect in 2021, impacts provider network data for health plans in addition to significant implications for patient health data requirements.
In this post, we’ll provide a framework for refining ownership of provider data and eligibility monitoring in your organization and explore the most common accountability structures we see with health plan clients.