Where your Total Payment Integrity™ experts share the latest resources, news, and events
Looking for the latest news in technology-enabled services for healthcare insurance claims? Then you’re in the right spot! Review our library of articles and blog posts about everything from payment integrity solutions to software as a service (SaaS) platforms like Pareo® that allow you to get claims right the first time. Questions? Comments? Get in touch with our progressive team of experts today.
Examining claim spend cost at health plans, and what kind of ROI can be expected. Controlling claim spend is nearly impossible without system visibility. By that, we simply refer to the access that some technology gives health plans and payers into payment integrity...read more
Communication breakdowns with providers wreak havoc on a payer’s bottom line. Imagine, if you will, two scenarios in a relationship between a healthcare provider and a health plan. In one, a provider receives a letter from a health plan telling them a claim is...read more
Health plans can minimize wasteful spending on administrative complexity with simpler, standardized processes. Administrative Complexity: Complex administrative processes in healthcare organizations that are increasingly seen as unnecessary and are therefore leading...read more
Does it make sense for your health plan to carve out Payment Integrity from your other cost containment efforts into a dedicated department with greater oversight capabilities? Historically, payment integrity efforts have been scattered among specialty departments...read more
Here's what to expect following new CMS payment integrity initiatives, including a guide to CMS audit protocols. The pressure is on for state-administered Medicaid programs (and the MCOs that run them). New initiatives released over the summer by CMS promise...read more
ClarisHealth’s Total Payment Integrity™ solution strengthens vendor partnerships Sooner or later it’s bound to happen: your health plan wants to shake things up a bit. New processes, new technology, new point of contact, bringing new third-party services providers on...read more