HIT Consultant August 12, 2024
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 the claim adjudication process, the importance of next-generation claim editing capabilities will separate health plan leaders from laggards.
If you’re equating claims editing with medical savings alone—you’re missing the boat and the opportunity. Because forward-thinking payment integrity and claims operations leaders recognize that prepay editing, and its underlying best practices, improve administrative costs, plan member satisfaction, and provider relationships.
Here are ten best practices of prepay editing, which health plans should be using today:
- Staying Agile with Regulatory Updates
In a sector governed by stringent regulations, it’s crucial for health...
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