Payment integrity in Medicaid—the concerted effort to keep tight control over fraud, waste and abuse—can be addressed at any stage in the claim cycle. Of course, the earlier it is addressed, the ...

In today’s healthcare environment, the convergence of Revenue Cycle Management (RCM) and payment integrity is a strategic necessity for both providers and payers. Historically, these functions have ...

Building on over 30 years of excellence and trust, Lyric’s pre-pay claim editing solution has been a valued resource to more than 100 health plans in the U.S. which collectively touch more than 180 ...

Global Research Firm Identifies Use of Advanced AI and Analytics and Ability to Offer Retrospective and Prospective Reviews as Key Solution Attributes BOSTON and PARIS, Oct. 8, 2025 /PRNewswire/ -- ...

SALT LAKE CITY--(BUSINESS WIRE)--Cotiviti, a leader in data-driven healthcare solutions, has been named the highest-designated Leader by Everest Group in the Payment Integrity Solutions PEAK Matrix ® ...

How can a strong payment integrity foundation reduce administrative spend? Health plan leaders acknowledge that challenges abound in meeting payment accuracy goals. Communication with providers, aging ...