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Payment for Quality

  • The Benefits of Multiple Payment Integrity Solutions Applied to Inpatient Hospital Bills
  • The Benefits of Multiple Payment Integrity Solutions Applied to Inpatient Hospital Bills
  • Top 5 Trends in Payment Integrity
  • Healthcare Claim Complexity & Audit Efficiencies
  • Healthcare Claim Complexity & Audit Efficiencies
  • Convert Accident Related Medical Claims Into Revenue
  • Getting Payment Integrity Right
  • Getting Payment Integrity Right
  • Changes in Coding and Reimbursement Part 1
  • Changes in Coding and Reimbursement Part 1
  • Changes in Coding and Reimbursement Part 2
  • Changes in Coding and Reimbursement Part 2
  • Overview/Management of Compounded Medications
  • Overview/Management of Compounded Medications
  • Understanding Inpatient Claims Editing
  • Understanding Inpatient Claims Editing
  • Overview/Management of Specialty Medications
  • The Proper Reporting of Healthcare Services: Bridging the Gap on Payer Policy
  • The Proper Reporting of Healthcare Services: Bridging the Gap on Payer Policy
  • Overview/Management of Specialty Medications
  • The Use of Analytics in Payment Integrity
  • Solid Front End Analytics for P&C and Work Comp Subrogation
  • Solid Front End Analytics for P&C and Work Comp Subrogation
  • The Use of Analytics in Payment Integrity
  • Subrogation Opportunities Extend Beyond MVA’s in Workers Compensation
  • Inpatient Claims: Breaking the Level of Care Quandary
  • Inpatient Claims: Breaking the Level of Care Quandary
  • Payment for Quality
  • Payment for Quality
  • Pursuing Payment Integrity
  • Pursuing Payment Integrity
  • The Power of Analytics in Healthcare Subrogation
  • The Power of Analytics in Healthcare Subrogation
  • Payment Integrity in Workers’ Compensation
  • Payment Integrity in Workers’ Compensation
  • Sustaining Top Quartile Recovery Performance
  • Sustaining Top Quartile Recovery Performance
Home Right Direction Payment for Quality
Payment for Quality

About this Course:

Payment for quality and outcomes is an emerging pathway for the reimbursement of healthcare services. Quality ‘scores’, however, are often dependent upon the proper reporting certain data elements on the health care claim. Payers are advised to exercise caution in an environment that attaches revenue to quality scoring, highlighting pathways and processes for provider reporting that may result in artificially inflated quality scores.

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  • Home
  • About
  • Solutions
    • Claim Analytics
      • Data Mining
      • Prospective Claim Accuracy
      • Network & Pricing Optimization
      • AuditPoint
    • Clinical Validation
      • Clinical Review & Resolution
      • Hospital Bill Audit
      • DRG Validation
      • Outpatient Audit
    • Other Party Liability
      • Healthcare Subrogation
      • Property & Casualty Subrogation
      • Pre-Bill Discovery
      • Coordination of Benefits
      • SubroPoint & Troveris
    • Workers’ Compensation
      • Medical Bill Review
      • Clinical & Coding Logic
      • Pharmacy & DME
      • Predictive Analytics
  • Right Direction
  • Newsroom
  • Contact
    • Got a letter?
    • Respond Online
  • Careers
  • Client Login
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