The Future of Healthcare Payment Integrity: Why AI-Driven Early Intervention Matters Now
Healthcare payers face an unprecedented challenge: maintaining financial integrity while preserving vital provider relationships. As claims volumes surge and complexity increases, traditional reactive approaches to payment integrity are no longer sufficient. The...
The Promise of Generative AI to Transforming Payment Integrity: Highlights from the Codoxo Xcelerate Conference
As the healthcare industry continues to face mounting challenges in addressing accurate payment integrity due to complex healthcare claims processing, evolving reimbursement models, and fragmented data systems, healthcare leaders seek tools that will allow them to act...
Providing SIU and Payment Integrity Teams an Added Lever: AI-Powered Provider Education Helps Expand SIU Resource Capabilities
Like most SIUs, MVP Health Care’s SIU was faced with an overloaded team that was fielding requests from across the organization. Their goal was to be as responsive as possible to all requests coming into the department but had a desire to shift a portion of their...
The Power of Provider Self-Audit: Transforming Coding Accuracy in Healthcare Payment Integrity
As our industry continues to delve deeper into streamlining and improving complex healthcare payments processes, healthcare payers are recognizing the increasing necessity to adopt new innovative methods to uphold and improve their payment integrity programs. The...