The phrase, “An ounce of prevention is worth a pound of cure” aptly applies to a movement within the healthcare payment industry: Fraud, waste and abuse (FWA) prevention. Because of lean budgets and compelling cost analyses, payers are motivated to find payment integrity solutions that can identify FWA before paying erroneous claims. For optimal aberrance detection, consider adopting a proactive, preventive approach.
This white paper can help payers determine the best ways to protect themselves against FWA. It demonstrates the benefits of proactive, in-stream claims review and illuminates powerful preventive resources, to understand how to limit unnecessary claim payment, potentially saving significant time and money.
Specifically, this white paper details:
•How shifting to a pre-adjudication or pre-payment fraud detection solution can yield significant financial impact
•Characteristics of an effective pre-payment FWA management solution
•Organization, system and process implications of adopting a pre-payment FWA management solution
To read this white paper or to discover more about Emdeon Payment Integrity Solutions, visit www.emdeon.com/paymentintegrity.
Pre-Payment Fraud Detection and its Impact on the Bottom Line: A New Payment Integrity White Paper
