PAYMENT INTEGRITY OFFICE
Our Approach
Boost medical savings by expanding current programs and introducing innovative initiatives. This dynamic blend not only propels organizational growth but establishes a best-in-class Payment Integrity organization, setting a new standard for excellence
The Outcomes
Crafted comprehensive future state roadmap in just 45 days
The roadmap aims to achieve 3:1 ROI run rate within 18 months
Devised staffing plan for program implementation
Generated standardized data sets for utilization across all vendors
Increased savings run rates with legacy Payment Integrity vendors
Established program governance and a dedicated project team to drive Payment Integrity initiatives