Improving Revenue Leakage Through Better Medicaid Claims Validation

With a growing population of program participants,
the amount of Claim Level Data (CLD) will continue
to grow exponentially. Invoice level validations alone
cannot bring to light all the potential disputes in the
Medicaid data. Without a solid CLD strategy in place,
manufacturers are prone to errors and significant
revenue leakage.

Simply adding CLD to the Medicaid rebate
adjudication process, however, is not a one size fits all
approach. We have profiled three manufacturers that,
although having different adoption journeys, greatly
benefitted from effectively implementing CLD.

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