Raising the bar
Most payment integrity programs include a mix of internal capabilities and vendor services but can lack a cohesive alignment strategy. Without cohesion, there are challenges to enhancing accuracy pre-payment.
Our best-practice assessments identify medical and administrative cost-saving opportunities across all lines of business. Our financial reporting solution offers transparency into success and roadblocks.
We start by understanding what drives success. Then we assist in setting up a payment integrity office. Our goal is to provide a solid foundation to support:
- Vendor management
- Shared services
- Analytics lab
- Research and development
What makes our Advisory Services unique?
We perform a proven best-practice assessment. We share knowledge across all stakeholders and align payment integrity solutions to maximize success and improve accuracy pre-payment. Our reporting service is ongoing and allows a full view of savings with targets for improvement.
Advisory Services results
On average, payment integrity programs result in 2–4% savings on medical spend annually. Our Advisory Services results have reached 8–13%.