Payment Integrity Tag

27 Nov

Posted at 12:00h in Medicaid Improper Payments by

Improper payments and fraud remain chronic and costly difficulties for Medicaid and other government-funded programs. The GAO defines improper payments as payments that should not have been made or that were made in an incorrect amount (including overpayments and underpayments) under statutory, contractual, administrative, or...

28 Jun

Posted at 11:25h in Payment Integrity by

Payment integrity programs are designed to provide correct claims processing, adherence to contractual rates, and compliance with payment rules. These efforts are essential for maintaining the financial stability of healthcare systems and making certain that patients receive proper care. That being said, they can create...