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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Overcoming The Administrative Challenges of Medicaid Redetermination
Medicaid Redeterminations and their Impact on Payment Integrity and COB At the beginning of the COVID-19 pandemic, Congress enacted the Families First Coronavirus Response Act (FFCRA), which required Medicaid programs to keep members continuously enrolled through the end of the public health emergency (PHE) in exchange for enhanced federal funding. That continuous coverage ended on… Continue reading Overcoming The Administrative Challenges of Medicaid Redetermination
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