Despite the best efforts, Health plans leave money on the table when it comes to Payment Integrity.
Health plans lose millions of dollars to expired claims after doing all the work. Claims with valid overpayments sit in the recovery and offset status and expire due to lack of resources or focus. Your valuable PI team members may be working on tasks that are necessary, but below their pay grade or expertise
ClaimShark can help with volume and velocity of your savings. Our technology and tools along with your expertise can increase and accelerate your payment integrity savings. Elaborated below are some of our services to help with your Payment Integrity challenges