Payment Integrity Analytics
Navigating payment integrity challenges is crucial for healthcare payers and providers to prevent revenue loss and compliance issues. Concentrix’s Payment Integrity Analytics solution ensures accurate payments, curbing fraud and abuse without manual intervention.
How we can help you
The Concentrix Payment Integrity Analytics solution uses an AI-driven analytics engine that seamlessly integrates into any stage of your payment cycle—to accelerate claims processes and ensure payment integrity. Powered by advanced machine learning models, it makes use of pre-built rules and predictive modelling to mitigate fraud, prevent overpayments, and minimize many of the frustrations associated with billing, reimbursement, and claims-related tasks. We help you to pave the way for improved efficiency and customer satisfaction throughout the healthcare payment experience.
Identify and validate claims and prevent overpayments before they occur.
Combine data from multiple systems and data sources with secure and cloud-enabled API connectivity.
Streamline data analysis using clear rules and advanced technology like prediction, data mining, and machine learning.
Ready to get started on your Payment Integrity Analytics Journey?
Our data and analytics experts can help you start streamlining your healthcare payment experience.
Enhance your operations with the following features:
Provider Network Analysis
Use social network analysis capabilities to identify recipients with multiple providers.
Provider Effectiveness
Employ peer benchmarking to reduce errors, fraud, waste, and abuse, whether intentional or unintentional.
Real-Time Monitoring
Identify discrepancies with real-time insights to improve claims and payments, including pre-pay cost containment.
Want to learn more about how Payment Integrity Analytics can power your healthcare payment experience?
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