|
|
Article: Claiming responsibility: with new revenue integrity technologies, health plans and payers are more effectively controlling costs and identifying fraud.(Health Plans and Technology)
- Article from:
- Health Management Technology
- Article date:
- June 1, 2008
- Author:
CopyrightCOPYRIGHT 2008 Nelson Publishing. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
|
[ILLUSTRATION OMITTED]
Just like their healthcare provider colleagues, health plans and payers have a fiduciary responsibility to spend hard earned premium dollars both fairly and wisely. A vigorous approach to maintaining revenue integrity is, of course, good business. But it's also supposed to benefit patients and healthcare professionals. Given that annual healthcare expenditures are approaching $2 trillion, the stakes are enormous and, from the perspective of the individual, these high costs leave absolutely no room for inaccuracy. When undetected, most errors and fraud count against someone's annual deductible or lifetime limit on benefits. Dollars ...