From the Trenches: A Healthcare Analytics Podcast
From the Trenches is a healthcare analytics podca…
Technology
Episode 18 - The insider's guide to clinical appropriateness
When a health plan is deciding whether to pay a clai...
more
Sep 23 2019 18m
Episode 17 - How to step up claim overpayment recovery results
Payment accuracy programs are critical to delivering...
more
Jun 18 2019 11m
Episode 16 - The keys to successful claim overpayment recovery
For health plans, managing payment recovery is very ...
more
Jun 7 2019 7m
Episode 15 - How to sharpen your inpatient auditing program with better chart selection
Although the cost of inpatient hospital stays contin...
more
May 20 2019 7m
Episode 14 - Excellus BlueCross BlueShield's data lake journey
As they look to tame their data and turn it into act...
more
Apr 11 2019 8m
Episode 13 - A path to success in the changing data management landscape
The longstanding barriers to data sharing between he...
more
Mar 11 2019 12m
Episode 12 - Fighting healthcare fraud and abuse with NHCAA
Healthcare organizations must constantly improve the...
more
Nov 6 2018 9m
Episode 11 - How clinical validation is good for payers, providers, and patients
When a health plan denies a claim, the provider want...
more
Sep 27 2018 7m
Episode 10 - How risk adjustment coding validation gives health plans more certainty
Compliance is becoming an increasingly difficult cha...
more
Jul 18 2018 13m
Episode 09 - Navigating to better Star Ratings performance
You’ve submitted your final data to NCQA and CMS, ma...
more
Jun 19 2018 13m
Episode 08 - The final sprint to the HEDIS 2018 finish
The countdown is on for the June 15 deadline to subm...
more
May 21 2018 7m
Episode 07 - Validating clinical claims without medical record review
Automated claim editing systems are a crucial compon...
more
May 8 2018 7m
Episode 06 - Are you ready for medical record review validation?
The HEDIS® 2018 deadline for submitting your medical...
more
Apr 24 2018 4m
Episode 05 - Are you catching all types of duplicate claims?
Is your claim editing system catching all types of d...
more
Apr 10 2018 8m
Episode 04 - Sifting the 2019 Medicare Advantage final rate notice
The Centers for Medicare & Medicaid Services (CMS) h...
more
Apr 6 2018 12m
Episode 03 - HEDIS measure changes on the horizon
The National Committee for Quality Assurance (NCQA) ...
more
Mar 28 2018 8m
Episode 02 - The changing quality landscape
As payers increasingly use quality data to drive per...
more
Feb 14 2018 10m
Episode 01 - Prepping Your HEDIS data
On the premiere episode of our podcast, we look at h...
more
Jan 30 2018 6m