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Why Auditing Health Care Claims Is Paramount for Payers

June 10, 2021 @ 1:00 pm - 2:00 pm EDT

MossAdams CPE Webinars

Participants of the live webinar will be eligible for 1 free CPE credit.

COVID-19 has created significant financial upheaval for payers, patients, and providers alike.  With the significant disruption to the claims processing cycle and health care costs continuing to climb, cost containment has never been more paramount for payers.

Join us for our webcast to learn how auditing your company’s claims can be a powerful tool to mitigate cost overruns and save potentially millions of dollars —while increasing member satisfaction with health plans.  We’ll address these key benefits as well as the following topics:

  • Financial impacts of emerging services, changes to medical billing protocols, and frequent-payer processing rule modifications
  • Repercussions felt by members related to confusion over coverage, cost sharing, and payment responsibility
  • Increases in health care fraud and how to identify cases, waste and abuse incidences driven by changes to service delivery settings, and new billing codes and guidelines

This webcast is designed for payers across the continuum, including health plans, self-insured employers, managed care organizations, risk-bearing organizations, and third-party administrators.


CPE Information

After completing this training, participants will be able to list three benefits to claims auditing during and after the pandemic; explain why incidents of fraud, waste, and abuse are on the rise and how to mitigate such incidents; and describe how member satisfaction can be affected by improper claims processing.

This webcast is designed for payers across the continuum, including self-insured employers, health plans, payers with captive insurance, and TPAs.


For more information about administrative policies regarding CPE, refunds or complaints, please contact Michaella Johnson at 503-478-2289 or send her an email.

Moss Adams is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State Boards of Accountancy have the final authority on the acceptance of individual course for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.nasbaregistry.org.

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