Protect Networks and Control Recoupment Through Exclusion Monitoring
Your team works hard to maintain compliance and ensure the success of your health plan. But most health plans expend a lot of time and labor managing exclusion monitoring. In this webinar, we discuss how top health plans are getting smarter about their exclusion monitoring and producing powerful insights to ensure compliance today and reduce claims recoupment tomorrow.Watch the webinar to learn more.
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: What You Need to Know
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 and Effects on Provider Network Data
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.
How to Improve Ownership of Provider Data
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.
