EMBLEMHEALTHPost-Payment Reviews of Paid Medical Claims
EmblemHealth will start expanding its partnership with Cotiviti, Inc. for periodic post-payment reviews of paid medical claims on Sept. 1, 2021. Keep reading to find out the post-payment reviews to be conducted.
Starting on Sept. 1, 2021, EmblemHealth will be expanding its partnership with Cotiviti, Inc. for periodic post-payment reviews of paid medical claims. The post-payment reviews to be conducted are Retrospective Accuracy datamining (RA) and Clinical Claim Validation DRG review (CCV). These are the same/similar reviews that are currently being conducted by Optum on behalf of EmblemHealth. Click here for more information.
