Industry Insights & Expertise
Access insights and perspectives from our team of payment integrity and FWA experts. Our podcast ‘Payment Integrity Perspectives’ features innovators and thought leaders who share a common goal to transform health plan engagement.
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Communication breakdowns with providers wreak havoc on a payer’s bottom line.
Imagine, if you will, two scenarios in a relationship between a healthcare provider and a health plan. In one, a ...
Health plans can minimize wasteful spending on administra
Administrative Complexity: Complex administrative processes in healthcare organizations that are increasingly seen as unnecessary and ...
Does it make sense for your health plan to carve out Payment Integrity from your other cost containment efforts into a dedicated department with greater oversight capabilities?
Historically, ...
Here's what to expect following new CMS payment integrity initiatives, including a guide to CMS audit protocols.
The pressure is on for state-administered Medicaid programs (and the MCOs that ...
ClarisHealth’s Total Payment Integrity™ solution strengthens vendor partnerships
Sooner or later it’s bound to happen: your health plan wants to shake things up a bit. New processes, new ...
Payment integrity vendors are critical to the success of any health plan. As health plans realize this, they are working to create stronger partnerships. Here’s how Pareo® helps.
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