How to Insource Payment Integrity Audits
Insourcing payment integrity audits is a complex process that requires a strategic approach. We recommend a two-step method to ensure success. This blog series will guide you through this process, with Part 1 focusing on maximizing your current audit capabilities, and Part 2 exploring how to prioritize and implement new audits.
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4 Key Factors to Optimize Payment Integrity Performance
Healthcare costs are expected to rise 8% over the next year, due to inflationary pressures and increasing utilization rates . Provider billing processes continue to increase in complexity, while the Department of Justice estimates that fraud, waste and abuse may account for up to 10% of all healthcare spending
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Transforming Payment Integrity with Artificial Intelligence
The Impact of Artificial Intelligence on Payment Integrity: Addressing Payer Challenges, Leveraging AI, and What Lies Ahead
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