In recent months, unexplained shifts in the SSA Death Master File (DMF) have raised new concerns about accuracy and reliability. For administrators safeguarding participant benefits, and for insurers ensuring claims integrity, staying ahead of these changes is essential. In a 30-minute webinar we shared exclusive insights into what we’ve [continue reading]
The Medicare Advantage (MA) market is one of the most competitive landscapes in healthcare. Success and profitability often hinge on performance in the Medicare Stars Rating system, established by the Centers for Medicare & Medicaid Services (CMS). This five-star quality scale ranges from five stars (excellent) to one star [continue reading]
We often hear from organizations that run an annual or semi-annual death audit and think they are doing enough. However, they are likely choosing a path that ends up costing them more in overpayments and time. It’s important to have continuous monitoring of your population and take a proactive approach. [continue reading]
The decline of data accessible via the Social Security Administration Death Master File (DMF) in 2011 redefined the Death Audit category. With this change, Death Audit providers became Death Data providers. This shift added complexities to death identification resulting in a significant number of missed deaths and associated overpayments [continue reading]
