What Is Subrogation?
Subrogation? What is it and what does it have to do with healthcare insurance? Subrogation, in layman’s terms, means a health plan can be reimbursed by the party whose insured was deemed responsible for an accident or injury.
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What Is Payment Integrity?
An estimated $1.2 trillion in healthcare spending is attributed to some form of waste or abuse that leads to overcharges. Payment integrity solutions are tools healthcare payors use to help bring down this staggering number. Claritev discusses what these solutions do.
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Trends that are re-shaping payment integrity strategies
Claritev discusses what is in store for the future of payment integrity and how the company is helping clients make the transition from retrospective to prospective programs.
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Caring for your providers during clinical audits
For today’s health plans, clinical audits play a critical role in payment accuracy and ensuring the financial health of the organization. They can help a plan control costs, comply with government regulations, and meet financial requirements. Transparent communication and education are key to positively impacting the provider experience during clinical audits.
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Protecting payment integrity through client-centered support
Claritev has built a solid reputation for providing value to health plans by helping to solve their payment integrity challenges. We owe our success to our exceptional people, culture of accountability, and client-centric approach.
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Infographic: Fixing payment integrity at the source
Are member eligibility errors impacting your payment integrity approach? This infographic identifies the top three causes of eligibility errors and illustrates what they might be costing your plan.
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Fixing payment integrity at the source— eligibility data
Now is the time to evaluate how well your health plan is maximizing recovery opportunities, improving cost avoidance strategies, and exploring premium restoration possibilities. To do this, you need to start at the source of your payment and revenue integrity challenges: eligibility data. Find out how eligibility management and a connected payment integrity approach can strengthen your payment and revenue integrity efforts.
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William Connors Joins MultiPlan as Payment Integrity Vice President
MultiPlan, Inc. welcomes William Connors as Vice President, Payment Integrity, Sales. He has 25 years of sales and management experience and spent the last three years working in the healthcare payment integrity market.
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Reducing Medical Billing Waste and Abuse – White Paper
Learn more about Medical Payment Integrity with our white paper on "Reducing Medical Billing Waste and Abuse."
