Claims Completion and Lag in Bundled Payment Episodes
Participants in Medicare bundled payment programs want to know when an episode’s claims are “complete”, at which point the episode’s cost can be compared to the target price. Estimating the "claim lag" and completion rates, however, are hampered by the amount of variability in claims payment across episode types and individual episodes. This article will explore those issues and suggest a point at which such estimates can be made.