Frost & Sullivan
A Precision-Oriented Approach to Maximize Savings on High-Cost Claims
Health plans face a myriad of 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.
Payment integrity issues can be difficult to rapidly isolate and correct, yet timely identification is crucial.
This white paper explores the challenges you’re facing with claims management and offers ideas to address high-cost claims in a pre-payment setting.