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.
Payment accuracy
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.
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.
