Gba rpa 3 for cebs Study guides, Class notes & Summaries

CEBS GBA/RPA 3 - Module 7 - Analytics and Vendor Management, Questions & Answers. VERIFIED. Define data analytics in the health care context. - -Data analytics is the process of inspecting, cleaning, transforming, interpreting and modeling data to discover trends, patterns, and other information that can support benefit plan decisions and changes. The ultimate goal of this work is to (1) reduce costs and (2) improve clinical outcomes and/or the participant experience. Define predicti...

GBA/RPA 3 Tibble v Edison ?? DOL Audit % of Unacceptable-Major deficiencies that affected overall quality of audit = 40% 00:15 01:41 SPD Initial distribution Must be distributed within 120 days after plan becomes subject to ERISA disclosure requirements. Skilled nursing facility benefits under M-care Part A Only if there has been a hospitalization of 3 days Typical costs of an administrative claims audit Cost for self-funded health plan is typically les...

CEBS GBA/RPA 3 - Module 7 - Analytics and Vendor Management, Exam Questions & Answers. VERIFIED. Define data analytics in the health care context. - -Data analytics is the process of inspecting, cleaning, transforming, interpreting and modeling data to discover trends, patterns, and other information that can support benefit plan decisions and changes. The ultimate goal of this work is to (1) reduce costs and (2) improve clinical outcomes and/or the participant experience. Define pre...