Learn about how to bring accuracy, consistency, and efficiency to payment integrity programs
FeatureD article
Using Three Levels of AI to Distinguish Reality from Fiction
At this current peak of the “AI-washing” hype cycle, it’s difficult to find a product that is not marketed as AI. So, it’s worth defining a few tests to tease apart the fiction from the reality. Let’s get into it.
We have a saying in the operating room, “just because you can, doesn't mean you should.” We have microscopic graspers, robots, and laser-guided navigation at our disposal, yet there’s still a doctor behind those tools, making sure everything is running smoothly.
If you’ve ever been on the receiving end of a medical bill or an “explanation of benefits,” you know that, behind the scenes, there's a complex, multilayered system at work. This system ensures healthcare providers are compensated fairly while also preventing unnecessary or fraudulent payments. One crucial aspect of this system is payment integrity.
My team loves Machinify! Their AI capabilities have increased recoveries by over 30% and reduced our dependence on PI vendors. Even more, as a leader of a large PI organization, Machinify multiplied reviewer productivity while eliminating false positives.
VP of Payment Integrity at Leading Medicare Health Plan
Working with Machinify has been a uniquely positive experience. Machinify helped us identify opportunities that were previously missing and continues to serve as valuable thought partners.
AVP of Claims Operations at Leading US Health Plan
Machinify is very flexible and has clearly demonstrated a track record with our payment integrity team. We couldn't ask for better partners. Internally, there is a high level of respect and trust in Machinify and when you say something, you do it.