Demystifying the Complexities of Pre-Payment for Long-Term Business Success
The shift to pre-payment solutions from the post-payment review method is gaining traction within payment integrity. By utilizing pre-payment solutions, health plans can proactively manage their payment strategy, optimizing program yield and maximizing cost avoidance value.
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Change is Upon Us: Why It’s Time to Say Good-Bye to Post-Pay
While the post-payment review method is most widely used among payment integrity programs, it’s not the only option payers have, nor is it the most advantageous.
Pre-payment solutions have gained significant traction within payment integrity, with health plans increasingly seeking ways to enhance their payment integrity strategy and claim payment accuracy.
Download the White Paper to learn more.
Pre-payment solutions have gained significant traction within payment integrity, with health plans increasingly seeking ways to enhance their payment integrity strategy and claim payment accuracy.
Download the White Paper to learn more.
Facilitating a Seamless Transition to Pre-Pay: Choosing the Right Technology Partner
Finding a technology partner who aligns with your needs is crucial when contemplating a shift to pre-pay for claims review processes. Key factors to consider include:
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- Establishing clear program objectives
- Opt for a technology-enabled solutions partner
- Establish clear expectations and maintain open communication
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Benefits
Efficient Tech-Enabled Capabilities
Use intelligent automation, OCR processing, and NLP insight creation to review more claims in a fraction of the time.
Configurable, Flexible Solutions
Configure payment and clinical policies, set up transparent reporting, and onboard services to augment internal capacity.
Program Transparency
Apixio’s platform provides real-time insights and control, allowing plans to monitor their programs proactively.
Increased Payment Accuracy for Cost Savings
Utilize tailored solutions that identify and capture savings through medical spend management.
The Impact
15 Min.
Reviews
15 minutes or less on itemized bill reviews
45%+
Efficiency
45%+ efficiency gains for clinical chart reviews
15-20%
Savings
15-20% average savings per claim
98%
Accuracy
98% review accuracy
Transform Your Payment Integrity Program
Request a demo to see how Apixio can support your organization’s transformation toward a pre-payment approach to payment integrity.