The Protiviti View  | Insights From Our Experts on Trends, Risks and Opportunities

The Protiviti View

Insights From Our Experts on Trends, Risks and Opportunities
Search

Healthcare Payer Audits: How Accurate Are Claim Payments Processed by Your Organization?

Female doctor using tablet

Each year, healthcare payers spend untold hours correcting errant claims, draining critical resources that could be used more profitably elsewhere. While payer organizations may be conducting reviews and employing payment integrity vendors to solve pieces of the problem, many are still falling short, as improper payments in the aggregate have not significantly improved over time. […]