This presentation covers how risk-bearing organizations can recover lost revenue due to claims leakage by identifying the common causes and ways to remediate them.
Key Takeaways:
- Expectations plans should have for RAPS/EDS reconciliation
- Effectively reconciling submissions in time for sweeps
- Indications of data leakage that affect claims and encounter submissions
- How best to conduct a RAPS/EDS reconciliation audit
- Results of recent RAPS/EDS audits