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Downloads
- Payment Integrity Brochure
- Payment Integrity White Paper — Advantages of Pre-Payment
- Payment Integrity White Paper — New Perspectives on Payment Integrity
- George Lazenby's chapter in 'Stop Paying the Crooks.'
- BNA Healthcare Fraud Report'
- "Driving Change in Payers' Fraud, Waste and Abuse Recovery Efforts"
Popular Solutions
Payment Integrity Solutions
Protection from Fraud, Abuse and Waste
Emdeon Payment Integrity Solutions help you identify, process and accurately pay only valid healthcare claims efficiently while reducing healthcare dollars lost to fraud, abuse and waste. This suite offers comprehensive solutions that easily integrate with your existing claims workflow. These solutions can be tailored to meet your immediate needs but also adapt as your organization changes and grows. With its unparalleled repository of claims data, Emdeon has the ability to streamline the information exchange and interpretation, enabling detection of aberrant claims that currently may go unseen, resulting in significant savings for your business.
Emdeon's innovative solution set offers the most complete healthcare fraud, abuse and waste solution available today. Our product suite empowers payers of all sizes to intelligently automate processes that previously required a significant investment in human resources and IT infrastructure.
Want to reduce your exposure to fraud? Let the healthcare efficiency experts review your business and apply our knowledge to your bottom line.
Contact UsFeatured Products
Emdeon Fraud Prevention helps remove unnecessary costs from healthcare by identifying claim aberrance and catching potentially fraudulent, abusive or wasteful claims early in the claim lifecycle—even pre-adjudication.
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Emdeon's highly flexible modular offering facilitates an integrated approach to fighting fraud and abuse within a comprehensive Payment Integrity solution.
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As a final claims review, Emdeon Healthpayers Protect helps you prevent improper payments in real-time by identifying clear-cut coding issues and invalid data without losing track of your cash flow or delaying provider reimbursements.
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Emdeon Audit and Recovery Services recovers overpayments caused by inaccurate contract re-pricing, improper coding and misapplied reimbursement methods, combining retrospective audit and coding expertise with extensive, multi-region data mining resources.
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Payer News: Emdeon Connection
The Emdeon Connection eNewsletter provides information to our government and commercial payer audience.
Emdeon Acquires EquiClaim to Expand its Payment Integrity Solutions Offering
We are excited to announce Emdeon has acquired EquiClaim, a leading provider of post-payment healthcare claims audit and recovery services for commercial and government payers, from MultiPlan.
Pre-Payment Fraud Detection and its Impact on the Bottom Line: A New Payment Integrity White Paper
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.
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