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
The Impact of Artificial Intelligence on Payment Integrity: Addressing Payer Challenges, Leveraging AI, and What Lies Ahead
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
ClaimShark TPL/COB platform (Cobalt) can triple your internal savings with the existing team. Cobalt gives your team a comprehensive TPL/COB platform that can bring in multiple data files (TPL, back sweep, CAQH etc.)
ChatGPT and AI’s Impact on Payment Integrity Ram Davaloor 4th June 2023 ChatGPT, a generative Al chatbot, gained popularity and momentum and reached 1 million users in just five days after release. A quick primer on ChatGPT – it’s a conversational Al chatbot built by OpenAl and released in November 2022. Generative Al applications, like ChatGPT… Continue reading ChatGPT and AI’s Impact on Payment Integrity
