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

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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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Innehåll tillhandahållet av Cotiviti. Allt poddinnehåll inklusive avsnitt, grafik och podcastbeskrivningar laddas upp och tillhandahålls direkt av Cotiviti eller deras podcastplattformspartner. Om du tror att någon använder ditt upphovsrättsskyddade verk utan din tillåtelse kan du följa processen som beskrivs här https://sv.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

Dela

MP3•Episod hem

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.

Innehåll tillhandahållet av Cotiviti. Allt poddinnehåll inklusive avsnitt, grafik och podcastbeskrivningar laddas upp och tillhandahålls direkt av Cotiviti eller deras podcastplattformspartner. Om du tror att någon använder ditt upphovsrättsskyddade verk utan din tillåtelse kan du följa processen som beskrivs här https://sv.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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