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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.

Dec 27, 2018

Our most-read blog posts of 2018

As we head into another new year, we’re looking back at our most-read blog posts from the past 12 months. Here’s the list from 2018, arranged in chronological order. We’re excited to continue these conversations and share more content in 2019. Happy New Year!

Aug 24, 2018

Optimizing reconciliation effectiveness with automated workflows and the four-eyes principle

As markets become more diversified, reconciliation has become more specialized.  Compounding this, rising regulatory requirements, both internal and external, have made it a necessity for operations teams to have a specific tool to effectively manage their daily reconciliation processes. 

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