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. However, transitioning to a pre-payment system is not without its challenges.
This ebrief aims to demystify the perceived challenges and risks of implementing a pre-pay solution for your health plan. We’ll discuss the advantages of switching to pre-pay and provide guidance for healthcare organizations to consider when seeking a partner with this transition.
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