Jun 11, 2019

Time to commit to reconciliation of your encounter data submissions

Your health plan’s encounter submission processes are in place with files getting submitted like clockwork, so you can sit back and relax, right? No! More than 80% of revenue for a typical Medicare Advantage (MA) health plan is risk-adjusted revenue, and if you aren’t continuously evaluating and reconciling encounter submission and response files, you could be missing out on millions of dollars in annual revenue.