eBooks

eBook: Integrated Digital Care Management

eBooks: CMS Transparency in Coverage Rule

The Transparency in Coverage Guide (CMS-9915-F) is a pivotal regulation aimed at increasing transparency in healthcare pricing, enabling consumers to access price information before receiving services

eBooks: A Checklist for Enabling Real-Time Claims Editing and Payments

What to look for in a modern claims editing solution that can lead your organization to more accurate, real-time claims processing and payments.

eBooks: Beyond the Basics - The Modern Approach to Payment Integrity Vendors With HealthEdge Source

Explore modern strategies for healthcare payment integrity in this e-book. Learn about the benefits of a single platform over traditional vendors, with insights on cost and customization.

eBooks: A Digital Transformation Journey

Safety Net Plans face unique challenges as they work to connect and engage with hard-to-reach populations to improve the health of the communities they serve.

eBooks: Challenging Reimbursement in Healthcare Claims Payments With Source

When it comes to handling reimbursement, dealing with incorrect payments caused by inaccessible pricing data and disjointed payment solutions can be a significant issue.

eBooks: Understanding the Role of Open and Flexible Care Management Solutions

As the pace of change in the healthcare industrycontinues to accelerate at record speeds, care management teams within health plans struggle to adapt their monolithic, legacy care management systems.

eBooks: 5 Steps to a Successful CAPS Implementation

Implementing a Core Administrative Processing System (CAPS) can revolutionize a health plan's ability to adapt to emerging payment models, design new benefit plans, and compete effectively...