The issue of fraud, waste and abuse in healthcare spending is a major challenge for both payers and providers with some estimates that it accounts for as much as 10 percent of overall healthcare ...

FORT WORTH, Texas, April 11, 2023 (GLOBE NEWSWIRE) -- CERIS, a CorVel company, has released “The Pulse of Payment Integrity,” a white paper encouraging healthcare payers to focus on reviewing claims ...

The acquisition combines Sagility’s payment integrity services with Devlin Consulting’s contract central technology platform, according to an April 25 Sagility news release. Sagility will now offer a ...

In 2013, the actress Angelina Jolie published an opinion column in the New York Times that described her decision to undergo a preventive mastectomy after testing positive for the BRCA gene, a ...

Prior to the pandemic, claims fraud, waste and abuse (FWA) was a priority issue for health plans aiming to improve both care quality and the member experience. But, accelerated by the pandemic, health ...

In today’s healthcare environment, the convergence of Revenue Cycle Management (RCM) and payment integrity is a strategic necessity for both providers and payers. Historically, these functions have ...

Healthcare is constantly transforming, and payment integrity programs are facing unprecedented challenges fueled by rising medical spend, an evolving and unpredictable regulatory environment and ...

A recent study of healthcare payer executives revealed payers are increasing investment in advanced technology to reach cost optimization goals. With many of these organizations focused on controlling ...

The MarketWatch News Department was not involved in the creation of this content. Tech-enabled healthcare BPM firm earns recognition for vision and strategy, technology innovation, and delivery impact ...

Codoxo, an AI-powered payment integrity solutions company, has secured $35 million in Series C funding led by CVS Health Ventures, the company announced on Wednesday. Atlanta, Georgia-based Codoxo is ...

As benefit consultants help their employer clients comply with new federal transparency regulations, greater attention is being paid to an important subset of that issue known as payment integrity.

FORT WORTH, Texas, April 11, 2023 (GLOBE NEWSWIRE) -- CERIS, a CorVel (CRVL) company, has released “The Pulse of Payment Integrity,” a white paper encouraging healthcare payers to focus on reviewing ...