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Inside Payment Integrity: Key Insights from a Payer’s Lens

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Manage episode 453805928 series 1286042
Content provided by CJ Wolf. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by CJ Wolf or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.
In this episode of Compliance Conversations, CJ Wolf welcomes Dave Cardelle to discuss the payer perspective on payment integrity. From the complexities of DRG claims to the use of AI, this conversation sheds light on how automation and collaboration can transform the healthcare landscape. What you’ll gain: - A deep dive into DRG audits and common pitfalls. - The role of technology in reducing abrasion between payers and providers. - Real-world solutions to improve payment accuracy and efficiency.

Thank you for listening! Please share, like, and subscribe.

If you'd like to see more compliance and auditing content feel free to follow us on social media.

Check out our resource center and weekly compliance newsletter for additional compliance and auditing content from our experts.

  continue reading

115 episodes

Artwork
iconShare
 
Manage episode 453805928 series 1286042
Content provided by CJ Wolf. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by CJ Wolf or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.
In this episode of Compliance Conversations, CJ Wolf welcomes Dave Cardelle to discuss the payer perspective on payment integrity. From the complexities of DRG claims to the use of AI, this conversation sheds light on how automation and collaboration can transform the healthcare landscape. What you’ll gain: - A deep dive into DRG audits and common pitfalls. - The role of technology in reducing abrasion between payers and providers. - Real-world solutions to improve payment accuracy and efficiency.

Thank you for listening! Please share, like, and subscribe.

If you'd like to see more compliance and auditing content feel free to follow us on social media.

Check out our resource center and weekly compliance newsletter for additional compliance and auditing content from our experts.

  continue reading

115 episodes

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