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As national healthcare spending grows, regulations shift, and administrative tasks increase in complexity, payment and revenue integrity has become a top priority. The Healthcare Payment and Revenue Integrity Congress connects leading figures in PI and RI/RCM to encourage information sharing, discuss the latest solutions being leveraged to ensure the integrity of claims, nurture payer-providers relationships and support the transition to value-based payments. Health plans use this forum to strengthen, redefine, or establish their own payment integrity strategies by analyzing case studies from industry peers and joining interactive discussions that span the entire claims continuum. It also empowers providers to make revenue cycle decisions with confidence by leveraging intelligent automation, optimizing RCM based on value, and effectively communicating concerns around emerging payment initiatives.
Generate new leads through current trends in healthcare payment and revenue integrity.
Advance your knowledge of payment integrity division, targeted data analytics, dental management program, compliant chargemaster, RCM approaches and more.
Participate in interactive sessions to make revenue cycle decisions, optimize RCM value, and effectively communicate concerns around emerging payment initiatives.
Be inspired by the innovative approaches of thought leaders in healthcare revenue integrity and elevate your financial performance and drive positive change.
Kisaco Research works with the early adopters and leaders of growth markets in driving their respective industries forward and in providing the right knowledge, learning and social opportunities to stimulate business growth quickly and effectively.
Mitigate high-cost claim overpayments and predict future liabilities by turning raw claims data into actionable strategic intelligence. Focused solely on the most expensive and complex claims, our AI-driven platform forensically identifies, financial
Mitigate high-cost claim overpayments and predict future liabilities by turning raw claims data into actionable strategic intelligence. Focused solely on the most expensive and complex claims, our AI-driven platform forensically identifies, financially analyzes, methodically predicts and clinically
At Carelon, we know that whole health can be achieved only when the entire system is connected. When everyone is on the same page through integrated digital tools and shared data. When a vision for a healthier system and better outcomes is united acr
At Carelon, we know that whole health can be achieved only when the entire system is connected. When everyone is on the same page through integrated digital tools and shared data. When a vision for a healthier system and better outcomes is united across all the healthcare system’s stakeholders — fro
For more than 20 years, CAQH has helped nearly 1,000 health plans, 1.6 million providers, government entities and vendors connect, exchange information and operate more efficiently. CAQH technology-enabled solutions and its Committee on Operating Rul
For more than 20 years, CAQH has helped nearly 1,000 health plans, 1.6 million providers, government entities and vendors connect, exchange information and operate more efficiently. CAQH technology-enabled solutions and its Committee on Operating Rules for Information Exchange (CORE) bring the healt
CERIS serves healthcare payers in excelling with paying medical claims correctly the first time. We drive business and policy strategies through technology to detect and resolve pre and post payment issues for health claims. Our team of policy and pa
CERIS serves healthcare payers in excelling with paying medical claims correctly the first time. We drive business and policy strategies through technology to detect and resolve pre and post payment issues for health claims. Our team of policy and payment integrity leaders deliver savings through th
Healthcare Fraud Shield provides new and unique Fraud, Waste and Abuse (FWA) automated solutions to the healthcare industry. Our exclusive data solutions and investigative expertise deliver maximum results in the detection and prevention against frau
Healthcare Fraud Shield provides new and unique Fraud, Waste and Abuse (FWA) automated solutions to the healthcare industry. Our exclusive data solutions and investigative expertise deliver maximum results in the detection and prevention against fraud. Leveraging our comprehensive fraud experience,
MedReview is a different type of payment integrity company. As a physician-led organization, our doctors review and document every claim we reassign, resulting in the highest savings per review and the lowest appeal overturn rate in the industry. Our
MedReview is a different type of payment integrity company. As a physician-led organization, our doctors review and document every claim we reassign, resulting in the highest savings per review and the lowest appeal overturn rate in the industry. Our advanced algorithms are enriched by machine learn
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