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9/1/2016RETROSPECTIVE PREPAYMENT REVIEW & BILLING ERRORSPresentation Overview o health role as RIO o Retrospective Review process Prepayment Review Process Billing Errors Description and examples
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Retrospective prepayment review amp is a process where claims are reviewed after they have been paid by the insurance company.
Healthcare providers and insurance companies are required to file retrospective prepayment review amp.
Retrospective prepayment review amp can be filled out online through the designated portal provided by the insurance company.
The purpose of retrospective prepayment review amp is to identify any erroneous payments and prevent fraud and abuse.
Information such as patient demographics, diagnosis codes, treatment codes, and billed amounts must be reported on retrospective prepayment review amp.
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