Category Archives: by Erin Schmuker

Ask the expert: Key steps to evolve to a pre-payment strategy

By: Erin Schmuker, Vice President, Product Solutions – Payment Integrity, Optum This is the final blog of our 2 part series “Maximizing post-payment recovery, preparing for pre-payment success“ Your transition to pre-payment success can be a natural extension of your post-payment efforts to create a comprehensive payment integrity strategy. How? The first step is to look […]
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Ask the expert: Key steps to optimize an existing post-payment strategy

By: Erin Schmuker, Vice President, Product Solutions – Payment Integrity, Optum This is the 1st blog of our 2 part series “Maximizing post-payment recovery, preparing for pre-payment success” There is an increasing focus on pre-payment. However, your organization may not be able to fully commit to a comprehensive payment integrity approach. Even the most robust […]
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Bend the administrative curve cost with payment integrity best practices

Health plans transforming their business models to accommodate new markets and new lines of business may experience a strain on their payment integrity programs resulting from fluctuations in membership, business complexities and regulatory mandates across all areas of claims processing. Without a vigorous payment integrity program in place, these pressures can create competing or misaligned […]
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