The Impact of Artificial Intelligence on Payment Integrity: Addressing Payer Challenges, Leveraging AI, and What Lies Ahead
Continue Reading
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
Continue Reading
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.)
Continue Reading