More news: Health / Surgery
Agency / Source: Frost & Sullivan

Check Ads Availability|e-mail Article

Are you the owner of this article?, Turn it PREMIUM with your LOGO instead - and make it 3rd party Ads-Free! within the next hour!

Payment Integrity Solutions Enable Healthcare Plans to Optimize Processes and Maximize Returns Finds Frost & Sullivan - The right combination of analytics, process improvement strategies, subject-matter expertise, and effective and responsive client support and services will enable healthcare plans to achieve optimal results from payment integrity programs - Frost.com
Payment Integrity Solutions Enable Healthcare Plans to Optimize Processes and Maximize Returns Finds Frost & Sullivan

 

PRZOOM - /newswire/ - Santa Clara, CA, United States, 2021/06/04 - The right combination of analytics, process improvement strategies, subject-matter expertise, and effective and responsive client support and services will enable healthcare plans to achieve optimal results from payment integrity programs - Frost.com.

   
 
Your Banner Ad Here instead - Showing along with ALL Articles covering Health / Surgery Announcements

Replace these Affiliate Programs at ANYTIME! Your banner here within the next hour. Learn How!


 

External prepayment processing experts decrease incorrect payments in high-cost inpatient and outpatient facility claims, finds Frost & Sullivan

Payment integrity solutions are evolving in terms of technology, strategy, and services for higher claim accuracy. As administrative and clinical claims processes become more complicated, nuanced, and costly to navigate, third-party technologies and expertise are needed. Solution providers can ensure timely payment and records retrieval, lowering the need for specialty clinical claims and coding experts on staff. The right combination of analytics, process improvement strategies, subject-matter expertise, and effective and responsive client support and services will enable healthcare plans to achieve optimal results from payment integrity programs.

Frost & Sullivan’s latest executive brief, A Precision-Oriented Approach to Maximize Savings on High-Cost Claims, examines the value of partnering with an external prepayment processing expert to decrease the instances of incorrect payments in high-cost inpatient and outpatient facility claims.

“By combining the best human capital assets, third-party partners, and technology, health plans can ensure they optimize processes, minimize turnaround times, and maximize returns,” observed Daniel Ruppar, Healthcare & Life Sciences Consulting Director at Frost & Sullivan.

Patrick Riley, Healthcare & Life Sciences Principal Analyst at Frost & Sullivan, added: “Health plans are also able to leverage analytics and responsive client support through payment integrity programs to reduce the number of appeals and achieve optimal results, allowing them to focus on core competencies, including critical relationships with members and providers.”

Health plans face myriad challenges related to the capture, management, and collection of revenue from patient services. Over time, the administrative and clinical claims process has become more complicated, nuanced, and costly to navigate, jeopardizing optimal reimbursement and financial return.

“As the leading healthcare pricing and payments company, we offer a comprehensive set of cost management and payment optimization solutions for health plans and providers. As a best practice, we’ve achieved the most success for our clients by targeting and delivering a balance of risk management and financial performance,” noted Jay Deady, President, Claim Cost Solutions at Zelis. “Our comprehensive high-cost bill review is a holistic solution for reviewing expensive inpatient and outpatient facility claims and utilizes itemized bill review, clinical chart review, and diagnosis-related group (DRG) validation of claims pre-payment.”

Zelis’s highly customizable solutions deliver exceptional value, including:

• Utilizing a start-to-finish pre-payment approach to turn high-cost claims around quickly and offer back-end support to minimize conflicts with provider facilities.
• Building customizable solutions to meet health plan turnaround time requirements.
• Supporting records retrieval and fostering long-term relationships with provider facilities.
• Offering a holistic view of medical claim experiences and claim types based on work with clients across the United States.
• Interoperating with most major adjudication platforms so that health plans can seamlessly connect and enhance resource use and operational performance.
• Aligning solutions with those of existing vendors for incremental savings and reduced disruption.

About Frost & Sullivan

For six decades, Frost & Sullivan (frost.com) has been world-renowned for its role in helping investors, corporate leaders and governments navigate economic changes and identify disruptive technologies, Mega Trends, new business models and companies to action, resulting in a continuous flow of growth opportunities to drive future success. Contact us: Start the discussion.

 
 
Your Banner Ad Here instead - Showing along with ALL Articles covering Health / Surgery Announcements

Replace these Affiliate Programs at ANYTIME! Your banner here within the next hour. Learn How!


 

Agency / Source: Frost & Sullivan

 
 

Availability: All Regions (Including Int'l)

 

Traffic Booster: [/] Quick PRZOOM - Press & Newswire Visibility Checker

 

Distribution / Indexing: [+]  / [Company listed above is a registered member of our network. Content made possible by PRZOOM / PRTODAY indexing services]

 
 
# # #
 
 
  Your Banner Ad showing on ALL
Health / Surgery articles,
CATCH Visitors via Your Competitors Announcements!


Payment Integrity Solutions Enable Healthcare Plans to Optimize Processes and Maximize Returns Finds Frost & Sullivan

Company website links NOT available to basic submissions
It is OK to republish and/or LINK any newswire for any legitimate media purpose as long as you name PRZOOM - Press & Newswire and LINK as the source.
 
  For more information, please visit:
Is this your article? Activate ALL web links by Upgrading to Press Release PREMIUM Plan Now!
Healthcare Plans | Frost & Sullivan
Contact: Melissa Tan - Frost.com 
+65 6890 0926 melissa.tan[.]frost.com
 
PRZOOM / PRTODAY - Newswire Today disclaims any content contained in this article. If you need/wish to contact the company who published the current release, you will need to contact them - NOT us. Issuers of articles are solely responsible for the accuracy of their content. Our complete disclaimer appears here.
IMPORTANT INFORMATION: Issuance, publication or distribution of this press release in certain jurisdictions could be subject to restrictions. The recipient of this press release is responsible for using this press release and the information herein in accordance with the applicable rules and regulations in the particular jurisdiction. This press release does not constitute an offer or an offering to acquire or subscribe for any Frost & Sullivan securities in any jurisdiction including any other companies listed or named in this release.

Health / Surgery via RSSAdd NewswireToday - PRZOOM Headline News to FeedBurner
Find who RetweetFollow @NewswireTODAY

Are you the owner of this article?, Turn it PREMIUM with your LOGO instead - and make it 3rd party Ads-Free! within the next hour!


Read Latest Press Releases From Frost & Sullivan / Company Profile


Read Health / Surgery Most Recent Related Press Releases:

Prenatal Genetic Testing Market to Improve Accuracy Through Technological Advances According to Frost & Sullivan
AGS Health, A Global Leader in Revenue Cycle Management Solutions Establishes Operations in Jaipur, India
Next-generation Diagnostics Paving the Way to Reach Personalized Medicine According to Frost & Sullivan
InterSystems Partners with the Rhodes Group to Improve Hepatitis C Treatment in New Mexico
BostonGene Announces 0 Million Series B Funding at a Multi-Billion Dollar Valuation, Propelling the Company to Unicorn Status
Roche Diagnostics India Earns the Frost & Sullivan 2021 India Competitive Strategy Leadership Award
Wolters Kluwer Lauded by Frost & Sullivan for Enabling Aligned Decision-making with its Clinical Decision Support Solutions
Syapse Awarded 2021 Technology Innovation Leadership Award by Frost & Sullivan for Accelerating Real-world Care Delivery
Lumeon Commended by Frost & Sullivan for Enabling Digital Transformation in Healthcare
Menopause to Become the Next Game-changer in the Global Femtech Solutions Industry by 2025 Finds Frost & Sullivan

Boost Your Social Network
& Crowdfunding Campaigns


LIFETIME SOCIAL MEDIA WALL
 
NewswireToday Celebrates 10 Years in Business
.



PREMIUM Members


Visit  La Bella Bakery Artisan Bakery Arizona

Visit  BizJobs.com

Visit  Limelon Advertising, Co.







 
  ©2022 PRZOOM - Limelon Advertising, Co.
Home | About PRZOOM | Advertise/Pricing | Contact | Investors | Privacy/TOS | Sitemap | FRANCAIS
newswire, PR press releases distribution service magazines engine news alert newsroom press room breaking news public relations articles company news alerts newswiredistribution ezine bizentrepreneur biznewstoday digital business report market search pr firms agencies reports distri-bution today investor relation successful internet entrepreneur newswire distribution prtoday.com freenewswiredistribution asianewstoday bizwiretoday USA pr UK today