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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Now that the rules promoting interoperability have been finalized, here’s how payers can prepare to take full advantage of the freer exchange of healthcare data.
On March 9, 2020, the two ...
The first installment in a multi-part series aimed at clinical auditors. Part 1 takes a closer look at 5 trends impacting how health plans manage claims auditing today.
Claims auditing. It’s the ...
How can your health plan tell if a fraud solution’s claims are valid?
Just in the last year, dramatic leaps forward have occurred in advanced technology, and new healthcare fraud solutions have ...
Flexible solutions offer greater value to health plans.
Whether your health plan has decided it has outgrown its manual paper-based processes or existing technology, at some point you will ...
Data privacy and security will always be top of mind for health plans in an environment where access to data is crucial to growth. Here are some safeguards for payers.
How do payers balance ...
It’s almost 2020, and forward-thinking health plans have a choice when it comes to total payment integrity solutions.
From smaller regional plans with 100k members to large national health plans ...
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