Answers to your Data Mining questions

Data Mining FAQs

Answers to some of the common questions we get from health plans as they look to build or expand data mining capabilities for their organizations.

Wanted: New answers to growing COB problem

WANTED: new answer to growing COB problem

The old tried and true approach to coordination of benefits isn’t enough anymore. Discovery’s COB solution blends the right people, processes, and technology allowing our team and clients to work smarter rather than harder.

Evolving leadership roles in the healthcare industry

The evolving leadership role in healthcare

How healthcare leaders should think and act differently as the pandemic, the political environment, and social unrest continue to change the healthcare industry.

Cybersecurity awareness

Even a pandemic can’t stop the hackers

Despite the pandemic, hackers are busy stealing patient and personal data. Here’s a summary of recent cybersecurity breaches and tips for staying cybersecure.

ESRD Validation FAQs

End-Stage Renal Disease (ESRD) FAQs

Discovery addresses some of the frequently asked questions regarding End-Stage Renal Disease (ESRD) and explains how ESRD validation works.

Medicare Secondary Payer FAQs

Medicare Secondary Payer (MSP) FAQs

Discovery addresses some of the frequently asked questions around Medicare Secondary Payer (MSP) validation and explains how Medicare Advantage plans can ensure accurate premiums from CMS.

DRG validation strategies

DRG validation strategies for success

Research shows that the vast majority of medical bills contain errors—health plans can use DRG validation audits to improve the accuracy and validity of claims payments.

Telehealth impact on clinical audits

The impact of telehealth on clinical audits during COVID-19

Telehealth has become a lifeline during the pandemic, but the potential for improper coding and documentation is high. Health plans are wise to include telehealth claims in their clinical audit programs.

Your Coordination of Benefits questions answered

Your COB questions answered

As we meet with health plans across the country, we get asked about the COB process, vendor selection, and working with internal COB teams. We share some common questions and answers.

Heather Rodemann appointed Vice President of Subrogation Operations

Thriving during unsettling times

Heather Rodemann, VP of Subrogation Operations, reflects on a January 2020 interview and offers a video update of how she continues to thrive amid COVID-19 and these unsettling times.

healthy eating

Food for thought—an ingredient for good health

Discovery’s Wellness Committee ambassador Jim Heffernan shares healthy snack alternatives in the third post of this special series to celebrate the month of May as Global Employee Health and Fitness Month.

The body issue

The body issue—because we all have one

Discovery’s Wellness Committee ambassador combats workout excuses that come with working from home in the second of a special series of posts to celebrate the month of May as Global Employee Health and Fitness Month.

Find the funny—laughter’s healing power

Find the funny—laughter’s healing power

Discovery’s Wellness Committee ambassador explores laughter’s healing power in the first of a special series of posts to celebrate the month of May as Global Employee Health and Fitness Month.

Enhancing premium restoration in four steps

Enhancing premium restoration in four steps

Find out which four steps you can take to capture underpaid premiums and ensure accurate premium payments going forward for your Medicare Advantage members.

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