MAPD revenue reconciliation checklist: your strategic roadmap
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Navigate MAPD revenue reconciliation with confidence
Revenue reconciliation in MAPD plans has become increasingly complex, demanding precision and a strategic approach. Our comprehensive guide provides a structured framework to help health plans manage data integrity, regulatory compliance, risk score management, financial accuracy, cross-departmental collaboration, technology integration, and member management. Use this checklist to ensure your operations are audit-ready and aligned with the latest CMS requirements.
What you'll learn:
- How to verify and validate data streams
- Best practices for adapting to CMS payment and benchmark changes
- Methods for managing risk score calculations and retroactive updates
- Strategies for achieving financial accuracy and minimizing discrepancies
- Protocols for effective team collaboration and technology integration
- Steps for managing membership transitions
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