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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Gain the oversight you need to manage your health plan’s third-party services providers.
Recently, a client shared with us that the IT cost to bring on a health plan vendor was $70k. That ...
Enjoy our on-demand case study presentation.
What does total payment integrity look like once implemented? To answer that question, we invite you to view “Bringing Total Payment Integrity to ...
Look beyond claims editing solutions and find a comprehensive solution to payment integrity.
If your payment integrity strategy is limited to just a claims editing solution, your health plan is ...
Working with a small provider offers big opportunities for health plans
In the world of healthcare, the concept “bigger is always better” often prevails. Superficially, it makes sense that a ...
Health plans, don’t let your data go to waste
In healthcare, disruptive innovation lately centers around the Big Data Revolution. And for many established health payers and plans, talk of ...
COB Considerations for Medicaid MCOs
Coordination of Benefits. Many Medicaid health plans will tell you that this area is a primary concern in their payment integrity program. It’s no wonder: ...
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