Naomi Murphy, J.D., Senior Vice President, COB and Data Mining, Cotiviti
Coordination of benefits (COB) is a key component of any effective payment integrity program. But determining primacy for members with multiple plans and ensuring…
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Robert Starman, SVP of Payment Integrity Services at Sagility
Payment integrity (PI) is an essential component of the healthcare ecosystem, ensuring that payers correctly process claims and prevent financial losses due to errors, fraud, or…
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What You Should Know:
– Cohere Health, a leader in clinical intelligence solutions, has acquired ZignaAI and launched a new Payment Integrity (PI) Suite, which is anchored by Cohere Validate™. Financial details of the acquisition…
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What You Should Know:
– HealthEdge® and Codoxo announce a strategic partnership to provide healthcare payers with the industry’s most cutting-edge solutions and services.
– This partnership will streamline and enhance their respective end-to-end payment integrity processes by…
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Prasanna Ganesan, CEO, Machinify
Whether you work in healthcare or are just a patient who has interacted with the healthcare system, it shouldn’t surprise you to read that healthcare costs have been going up and…
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The issue of fraud, waste and abuse in healthcare spending is a major challenge for both payers and providers with some estimates that it accounts for as much as 10 percent of overall healthcare…
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Top News
Private equity firm New Mountain Capital will combine three of its healthcare billing portfolio businesses into a new company that is valued at $3 billion.
The companies are Rawlings Group, Apixio’s payment integrity…
Mark Turner, Vice President, Clinical Content, Lyric In the fast-evolving and intricate landscape of payment integrity, the value of prepay editing is paramount. As powerful AI and advanced analytics are being applied earlier in…
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Each year, KLAS celebrates the successful payer, provider, and vendor partnerships that are enhancing healthcare outcomes with the Points of Light awards. We look forward to listening to many of these Points of Light…
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Jason Brown, MBA is CEO of MRO of Norristown, PA.
Tell me about yourself and the company.
I have been in the healthcare technology space for almost 20 years. I have been working…
