Navigating the Path to Payment Integrity: Crafting a Clear Roadmap for Success

Industry Expertise, Payment Integrity

Navigating the Path to Payment Integrity: Crafting a Clear Roadmap for Success In healthcare operations and finance, establishing a robust Payment Integrity (PI) program is imperative for optimizing financial health and ensuring quality care delivery. However, embarking on this journey requires a clear roadmap and execution focus to navigate the complexities effectively. Drawing from insights […]

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Navigating the Path to Payment Integrity: Crafting a Clear Roadmap for Success

Industry Expertise, Payment Integrity

Navigating the Path to Payment Integrity: Crafting a Clear Roadmap for Success In healthcare operations and finance, establishing a robust Payment Integrity (PI) program is imperative for optimizing financial health and ensuring quality care delivery. However, embarking on this journey requires a clear roadmap and execution focus to navigate the complexities effectively. Drawing from insights

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Building a Strong Payment Integrity Program: Challenges and Solutions for Health Plans 

Industry Expertise, Payment Integrity

WEBINAR RECAP Unraveling Payment Integrity Challenges: Tactics for Sustainable Success Speakers: Chad Roswick, VP Healthcare Consulting, Curate Partners Dennis Rossi, Data & Analytics Solutions Partner, Curate Insights Emily O’Brien, VP Healthcare Solution, Curate Partners Healthcare costs are a major concern, and health plans are constantly seeking ways to optimize their spending. Payment integrity (PI) programs

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Unlocking Payment Integrity Success: Why Claims Leaders Need Dedicated Support

Industry Expertise, Payment Integrity

Unlocking Payment Integrity Success: Why Claims Leaders Need Dedicated Support In my experience navigating the intricate world of healthcare operations and finance, I’ve come to recognize a crucial aspect that can make or break Payment Integrity (PI) initiatives: the need for dedicated support. Let me share why expecting claims leaders to manage PI efforts alongside

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The Future of Medicare: Advancing Interoperability and Streamlining Prior Authorization 

Healthcare AI, Industry Expertise

The Future of Medicare: Advancing Interoperability and Streamlining Prior Authorization Executive Summary: We delve into the evolving and intersecting landscapes of prior authorization and healthcare interoperability for payers. Amidst increasing scrutiny related to AI-enabled denial decisions, CMS continues to waver on prior authorization rulings. We urge payers to stay ahead, navigating regulatory changes, optimizing workflows

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Navigating Skepticism: Building Momentum for Payment Integrity in Healthcare Operations

Industry Expertise, Payment Integrity

Navigating Skepticism: Building Momentum for Payment Integrity in Healthcare Operations Embarking on the journey to establish a robust Payment Integrity (PI) program within healthcare operations often entails addressing initial skepticism and misconceptions. In my two decades in healthcare, I’ve encountered a spectrum of comments reflecting initial skepticism when introducing PI initiatives: “What is PI, and

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Leading the Way: The Crucial Role of Executive Leadership in Payment Integrity 

Industry Expertise, Payment Integrity

Leading the Way: The Crucial Role of Executive Leadership in Payment Integrity In the complex landscape of healthcare operations, one principle stands out above all: Payment Integrity (PI) starts at the top. At the helm of every successful PI initiative lies the unwavering commitment and strategic vision of executive leadership. As highlighted in a recent

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Leading the Way: The Crucial Role of Executive Leadership in Payment Integrity 

Industry Expertise, Payment Integrity

Leading the Way: The Crucial Role of Executive Leadership in Payment Integrity In the complex landscape of healthcare operations, one principle stands out above all: Payment Integrity (PI) starts at the top. At the helm of every successful PI initiative lies the unwavering commitment and strategic vision of executive leadership. As highlighted in a recent

Leading the Way: The Crucial Role of Executive Leadership in Payment Integrity  Read More »

Embracing Decentralization: The Power of Peer-to-Peer Networks in Modern Technology 

Tech Skills | Tools | Platforms

Embracing Decentralization: The Power of Peer-to-Peer Networks in Modern Technology Curate Consulting Services: Pioneering P2P Solutions in Healthcare and Tech Modernization In an era dominated by the internet and digital transformations, the Peer-to-Peer (P2P) architectural pattern stands out for its robustness, decentralization, and innovative approach to resource sharing and communication. P2P networks empower devices, termed

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