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What are the financial risks of a Data Validation Audit?
What are the financial risks of a Data Validation Audit?
Financial risk in a represented sample:
Financial risk in a represented sample:
CMS and HHS assume the rate of unsupported HCCs in its sample
That sample is representative of the error rate in your overall population
Penalty is applied proportionately
Minimize revenue loss by.....
Minimize revenue loss by.....
Mitigating Risk:
Mitigating Risk:
Identify and quantify the conditions and providers who are putting the plan at risk
Identify conditions that are less apt to be coded correctly
Identify conditions that are more susceptible to being audited
To Create actionable results
To Create actionable results
Primed for:
Primed for:
Research
Correction
Provider education
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