Behavioral health is no longer an afterthought in healthcare—it’s central to how people heal, how systems function, and how payers drive value.
A real-world study of how one of the nation's largest payers transformed their payment integrity program and realized more than $1 billion in cost avoidance.
Explore our simple, transparent payment integrity solutions to see what we can do for your organization.
The PEAK Matrix® assessments deliver the critical insights enterprises need to make informed decisions when selecting top global technology and tech providers.
When it comes to DRG payment integrity, there’s a massive shift underway—towards smarter, faster, more cost-effective pre-pay solutions.
Behind every real healthcare AI success story are six essential elements—skip one, and you’re not building a solution, you’re staging a performance.
Because artificial superintelligence is still the stuff of science fiction, LLMs need proper guidance in order to be useful to medical professionals, researchers and others in the healthcare industry.
Machinify was able to to reveal maximum cost savings while reducing payment timelines with the fastest speed to pay on prepayment reviews.
Inefficient claims review processes, audits that frustrate providers, and billions of dollars wasted on inaccurate payments have plagued the healthcare industry for years. Now, with AI, there's a smarter way forward.
In this podcast, Tim explores how deeply embedded incentives, inefficiencies, and subjectivity in the current claims adjudication process create opportunities for manipulation and inefficiency.
Traditionally, payers have cast wide nets and asked providers to navigate hurdles only to claw back money after a payment has been made.
Most payers struggle to incorporate legislative, coding, and clinical changes into policy as well as to validate that policies are consistently applied to make timely, accurate payments of claims.