Health plans must look holistically across all their payment integrity programs to determine their overall effectiveness
With an average error rate of of 5-8% for claims payments, health plans spend a lot of tme and money trying to recover as many dollars as possible and minimize future errors. But many health plans may wonder how effective these efforts truly are as many important questions are left unanswered:
- How much do they spend on recovery efforts?
- What is the return on that investment?
- How does their performance compare to that of industry peers?
- Are they focusing their time and resources in the right areas?
Download this handy checklist today to understand the five things you need to know about your payment integrity program.