rtgtg started the discussion Health Plans: Audit Every Paid Claim in the forum Organizers

Wed, 12 Feb 2025 07:41:08 -0600

The methods and technologies used by medical claim auditors have advanced significantly since the days of relying on random sampling. Today, it is common to audit 100% of claims, achieving accuracy levels that were previously unimaginable. This approach aligns with higher expectations for managing substantial cost risks that can impact a…

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