Rising healthcare costs in the U.S. are reaching crisis levels. While price increases in medical products and services account for a large amount of this growth, administrative waste will continue to impose staggering costs on the healthcare system each year if allowed to continue unchecked. The errors in medical billing alone can take payers many costly months to find and analyze, making it hard to collect overpayments and even accurately forecast or manage cash flows.

In this playbook, we show how a technology forward pre-payment solution for improving claims payment integrity can lower costs, create efficiencies and reduce complexities in claims cost management. Readers will learn:

• How one company transformed claims cost management with a prospective approach to payment integrity ensuring prompt payment while providing maximized savings
• Why flexibility and custom technology are critical in a claims environment where one size doesn’t fit all
• How managing multiple systems, technologies and vendors can lead to waste

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