Just like safe, clean drinking water must first undergo a series of filtration stages before getting to your faucet, you can’t be confident in your claim payment stream without an integrated system of payment integrity (PI) efforts.
Check out our infographic and see what a smart prepay integrity system looks like—beginning with multifaceted prepay review and ending with a vital postpay safety net and prepay feedback loop.
You'll learn more about the value of:
- Prepay coordination of benefits (COB)
- Automated prepay editing and coding validation
- Prepay waste and abuse monitoring
- Prepay DRG review