Navigating Payment Integrity

Explore insights and predictions for the future of the Payment Integrity industry with Katy Brant in her exclusive interview, and solve your high dollar claim challenges today.

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Why are Clean Claim Reviews Important?

The error rate per claim is greater than 10% and 100% of inpatient claims have billing errors – making claim reviews paramount.

Traditional payment integrity methods have failed to meet the expectations of health plans. Historically, payers have relied on recovery vendors for payment integrity, resulting in various challenges. With CMS reporting that hospital care is now amounting to over a trillion-dollar annual spend, which accounts for 30% of our overall healthcare spend in the United States, payers are now aiming for higher accuracy and savings while minimizing disruptions.

The 6 Degrees Health Solution

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15% Average Savings

With our pre-payment review, each billed line item is ensured to be correct, resulting in high savings per claim.

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100% Support

6 Degrees Health manages claims during the review stage, as well as through payment, resolution, and appeals offering 100% support.

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$10M+ Annual Savings

Our comprehensive process identifies and eliminates errors or inconsistencies, saving millions annually per health plan.

Videos

Katy Brant on Payer Priorities

Katy Brant, president of 6 Degrees Health, shares how to meet payers’ priorities in the Payment Integrity market.

Katy Brant on AI in PI Workflow

Katy Brant, president of 6 Degrees Health, shares how to effectively integrate artificial intelligence into Payment Integrity practices.

Katy Brant on Payer Satisfaction

Katy Brant, president of 6 Degrees Health, shares best practices in meeting payers’ expectations in the Payment Integrity market

6 Degrees Health Payment Integrity

6 Degrees Health takes a service-first approach to our Clean Claim Reviews to ensure accuracy in billing and fair payments. Using our extensive cost containment experience, clinical expertise and proprietary software, we conduct the reviews in accordance with industry standard guidelines and evaluate every line item to identify and remove billing errors and inconsistencies.

Our clinical reviews are completed by registered nurses to ensure each billed line item, including routine supplies and services, pharmacy charges, laboratory, level of care, and implants are correct. This detailed review, which includes human touch points as well as recommendations powered by artificial intelligence, removes erroneous line items and verifies billing accuracy. Our comprehensive process manages claims during the review stage, as well as through payment, resolution, and appeals. Simply by leveraging our pre-payment reviews for healthcare services already rendered, you can see incredible savings.

 

 

 

 

Interview Transcript

The following interview with Katy, President at 6 Degrees Health, explores her insights and predictions for the future of the Payment Integrity industry.

Navigating Payment Integrity

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