Fact File

In Partnership with:
FACT FILE in partnership with THOMSON REUTERS

Payment Integrity Analysis

HealthLeaders magazine, September 13, 2013

The U.S. healthcare system is replete with waste. The key to avoiding waste in this area is meticulous attention to payment integrity issues. That is, making sure that the correct payment is made for the correct member for the correct service to the correct provider. For this study, Truven Health Analytics identified six payment integrity algorithms with the highest potential for savings. In addition to identifying potential waste, some of these algorithms have a clinical integrity dimension. Care that is wasteful or potentially fraudulent is also often of poor quality.

Download this Fact File


FREE e-Newsletters Join the Council Subscribe to HL magazine


100 Winners Circle Suite 300
Brentwood, TN 37027


About | Advertise | Terms of Use | Privacy Policy | Reprints/Permissions | Contact
© HealthLeaders Media 2016 a division of BLR All rights reserved.