Guide

MAPD revenue reconciliation checklist: your strategic roadmap

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

Access the Checklist