Where your Total Payment Integrity™ experts share the latest resources, news, and events
Looking for the latest news in technology-enabled services for healthcare insurance claims? Then you’re in the right spot! Review our library of articles and blog posts about everything from payment integrity solutions to software as a service (SaaS) platforms like Pareo® that allow you to get claims right the first time. Questions? Comments? Get in touch with our progressive team of experts today.
If your auditors’ workflow depends on email, there’s a more productive way forward. Confession time, health plans: how much of your auditors’ workflow depends upon email? Are they working claims based upon what they were pinged about most recently? You’re not alone....read more
Want to maximize your health plan’s recoveries? Of course you do. Here’s how. There’s a great deal of uncertainty in healthcare today, but one thing never changes: health plans’ desire to grow their recoveries. But, stuck dealing with insufficient technology or...read more
Are you playing a costly game of “Who’s got the medical record”? 90% of your health plan’s cost containment efforts are the source of provider friction. Your health plan has one directive: control medical spend. And despite tight timelines, a shortage of skilled...read more
Artificial Intelligence was a much-hyped “trend” for healthcare technology in 2018 but adoption waned. Here’s what AI is — and isn’t — and why it’s crucial in 2019. When IBM Watson, the AI supercomputer created by IBM, won Jeopardy! and then moved on to a career in...read more
Health plans are in a unique position to innovate with a trickle-down effect on providers and healthcare as a whole. It’s the plot to your favorite superhero movie (and with good reason): The odds seem insurmountable, and the path unclear but there’s a hero who sees a...read more
Out-of-the-box Fraud, Waste and Abuse solutions just don’t cut it for smaller health plans. If you lead a health plan with fewer than 250k covered lives, you may think you’re out of luck when it comes to a comprehensive FWA solution. Some of the larger technology...read more