How to Successfully Implement your Payment Integrity Program in Under 90 Days

All payment integrity programs are not created equal. The process for implementing a payment integrity program will look different for every healthcare plan — and for good reasons. However, it is possible to successfully implement these differing payment integrity programs in under 90 days with the right business partnership and aggressive (yet very achievable) tactics […]

Reasons Payers Should Evaluate Bringing Payment Integrity Programs In-House

In the world of healthcare, claims audits can be complicated. It’s no wonder most healthcare plans that don’t have the bandwidth to spend days analyzing stacks of paperwork opt to outsource their claim reviews to third-party vendors in order to alleviate the burden. While outsourcing claim auditing responsibilities to another vendor may seem like the […]