The Use of Analytics in Payment Integrity
- Healthcare Claim Complexity & Audit Efficiencies
- Healthcare Claim Complexity & Audit Efficiencies
- 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
- 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
Dr. Anthony Pelezo, MD // July 10, 2015
Analytics is emerging as an essential component of cost control and the detection of fraud, waste and abuse (FWA). In this overview we discuss the use of analytics in the detection of abnormal claims and options for integration of analytics to optimize proper claim payment.
These training videos consist of the personal opinions and views of the presenter(s), based on their knowledge, experience, and training. This material is designed to assist in the educational process and should not be considered as having the endorsement of any governmental agency, payor, healthcare provider or professional society.