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Successful Medicare Advantage data maintenance involves addressing data quality issues, rectifying adjudication errors, comparing to internal and external benchmarks and making the necessary adjustments to comply with CMS guidelines. This podcast discusses how Medicare Advantage plans can collect, review, and react to their claims experience to optimize financial results and create efficient processes.
By Society of Actuaries (SOA)4.6
3131 ratings
Successful Medicare Advantage data maintenance involves addressing data quality issues, rectifying adjudication errors, comparing to internal and external benchmarks and making the necessary adjustments to comply with CMS guidelines. This podcast discusses how Medicare Advantage plans can collect, review, and react to their claims experience to optimize financial results and create efficient processes.

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