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From the Trenches: A Healthcare Analytics PodcastFrom the Trenches is a healthcare analytics podca Author: Cotiviti
From the Trenches is a healthcare analytics podcast from Cotiviti (formerly Verscend Technologies), a leading solutions and analytics company that is reshaping the economics of healthcare. On the show, we explore the latest trends in healthcare quality and performance analytics, risk adjustment, payment integrity, and data management. Tweet your suggestions and comments for the podcast to @cotiviti or email jeffrey.robinson@cotiviti.com. Language: en Genres: Technology Contact email: Get it Feed URL: Get it iTunes ID: Get it |
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Episode 18 - The insider's guide to clinical appropriateness
Monday, 23 September, 2019
When a health plan is deciding whether to pay a claim, there’s no shortage of information to consider and reviews that must be performed, including medical coding and documentation. And perhaps the most challenging question to answer is this: is the information on the claim clinically appropriate? On episode 18 of “From the Trenches” podcast, we speak with Marla Wilson, Cotiviti vice president of clinical and coding operations, and Ken Sabulsky, vice president of audit operations. Listen as they dive into how Cotiviti reviews member claim history and medical charts to ensure clinical appropriateness.
