Prospective and swift claim auditing integrates predictive models with provider profiling to avoid overpayments
To help payers to conduct audits earlier in the claim lifecycle, SCIO Health Analytics today announced the expansion of its prepayment auditing service for diagnosis-related group (DRG) and DRG Short Stay audit concepts. Prepayment auditing helps payers avoid, instead of recover, costly overpayments, streamline payment integrity programs, and generate increased savings on both medical and administrative costs. ... |