Payment accuracy

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.

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.