Across the healthcare industry, organizations are making do with a payment integrity process that relies on a complex web of disparate systems, multiple vendors, and manual ticketing processes....
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Concert Genetics and HealthEdge Source (Source) have teamed up to address the rising complexities in genetic test claims.
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Ensuring accurate documentation to support medical necessity remains a significant challenge for healthcare providers and payers.
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Payer organizations today face significant obstacles as they navigate a new era of member and provider “relationship management.” Members and customers have increased expectations and payers are...
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Shifting Trends in Healthcare Payments: A Focus on Prospective Payment Integrity Lately, payers have been making some interesting shifts to better meet their organizational goals such as executing...
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When it comes to handling reimbursement, dealing with incorrect payments caused by inaccessible pricing data and disjointed payment solutions can be a significant issue.
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Payers are capitalizing on payment integrity trends more than ever before, but inaccuracies continue to plague the healthcare system—contributing to the estimated $760-$935 billion dollars in...
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Change is a constant in the healthcare market. So, when healthcare payers are evaluating new technology investments, it’s imperative that they look beyond deploying a quick fix and seek out...
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