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.
Here’s what ONC’s new “information blocking” rule means for your health plan. In February, the Office of the National Coordinator for Health Information Technology (the ONC) announced a new proposed rule to prevent “information blocking.” Interoperability has long...read more
Payment integrity solutions make many claims. Here are the top 11 areas of evaluation to ensure a perfect fit for your health plan. The healthcare data deluge is coming. Is your health plan prepared to deal with it? Most of the health plans and payers we talk with are...read more
Working harder and harder for a 1-2% rate of return on claim spend? It’s time to update your health plan’s payment integrity processes. Today, health plans and payers are at a crossroads: margins are shrinking, members are savvier, providers are increasingly...read more
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