Improving Medicaid Rebate Processing
Accuracy using Claim-level Detail (CLD)
Validation

This paper has highlights the fact that invoice level validations alone cannot bring to light all the potential disputes in the Medicaid data. Without at least some level of use of CLD in your Medicaid process, manufacturers are prone to significant revenue leakage. Adding CLD to the Medicaid rebate adjudication process can be a huge benefit in identifying and resolving additional issues and thus allowing for more accurate payments and accruals. Despite these significant benefits, many manufacturers believe they simply do not have the time, resources, or expertise to effectively implement CLD.

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