An enterprise payment integrity strategy spanning the prepay and postpay continuum is essential to effective claims processing, provider relations, and cost savings. Healthcare payers have begun an earnest transition from postpayment to prepayment methodologies. But to maximize payment integrity savings and reduce provider abrasion, payers must find the optimal balance for their business.
Watch our on-demand webinar as I moderate a panel discussion of Cotiviti payment integrity leaders to examine how payers are maximizing their postpay programs while considering more prepay claim reviews for errors in payment areas such as coordination of benefits (COB) and DRGs.
During our half-hour webinar, we’ll walk you through real-life examples of:
- Why major health plans are considering (or not) adding prepay reviews of COB and DRG errors
- Technical, clinical, and organizational challenges of adding more prepay reviews
- Advice and considerations for working around challenges
Only by implementing a true enterprise strategy and removing silos between internal teams and vendors can payers maximize the ROI of their payment integrity programs. Watch our webinar on demand and we'll explain how.