DRG validation strategies for success
Research shows that the vast majority of medical bills contain errors—health plans can use DRG validation audits to improve the accuracy and validity of claims payments.
The impact of telehealth on clinical audits during COVID-19
Telehealth has become a lifeline during the pandemic, but the potential for improper coding and documentation is high. Health plans are wise to include telehealth claims in their clinical audit programs.
Three benefits of physician oversight in clinical audits
Our Medical Director discusses the role physician oversight plays in conducting medically sound audits that reduce provider abrasion and ensure defensible recoveries.
Trends that are re-shaping payment integrity strategies
Discovery is helping health plans transition to a more proactive, data-driven payment integrity approach.
Caring for providers during clinical audits
Transparent communication and education are key to positively impacting the provider experience during clinical audits.
Merging AI and human intelligence for big recovery results
Hear Chief Information Officer Dan Iantorno on how Discovery uses artificial intelligence to uncover clients’ best opportunities for bigger recoveries.
Protecting payment integrity through client-centered support
Discovery discusses how our client-centric approach to account management helps protect payment integrity.
Infographic: Fixing payment integrity at the source
Are eligibility errors impacting your payment integrity approach? Find out the top three causes of eligibility errors and what they might be costing your plan.
Fixing payment integrity at the source
Find out how eligibility management plays a role in maximizing recovery opportunities, improving cost avoidance strategies, and creating premium restoration possibilities.
Jason Brown on the road ahead for payment integrity
Health plans face increasing pressure to ensure payment integrity. Discovery CEO Jason Brown explains recent trends and how they’re shaping the new decade.
