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Navigating the Intersection of Payment Integrity and Provider Relations in Healthcare

Innovaare Compliance

Balancing AI-Driven Payment Integrity with Provider Relations A large health insurance company implemented an AI-powered payment integrity system to identify and prevent potential fraud, waste, and abuse in healthcare claims. They also streamlined their dispute resolution process to ensure quick and fair resolutions.

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Health Provider News

Hall Render

See Latest Data RHODE ISLAND Lifespan’s primary care group transitions to Epic Teenage Depression Rates in Rhode Island Prompt ‘Crisis’ Rhode Island native’s AI company helping predict patient health outcomes Coastal Medical switches to Lifespan’s electronic health record R.I.

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Health Provider News

Hall Render

Nevada Medicaid must cover abortion services, judge rules Clark County health rankings improve, but physicians per capita still well below U.S.