支付準確性和完整性解決方案 (2023)：專注於財務成果

醫療保健付款人為會員承擔財務風險，並根據各種計劃和報銷類型支付醫療保健支出。報銷協議很複雜，許多因素（例如編碼和計費錯誤、欺詐和浪費）可能會導致報銷提供者支付不足或多付。支付準確性和完整性解決方案可協助付款人準確付款並在發生多付款或詐騙時挽回損失。

該報告分析了支付準確性和完整性解決方案的市場，確定了這些解決方案提供的關鍵功能，並檢查了客戶對供應商績效的滿意度。

目錄

第1章 執行見解

第2章 供應商的考察

Payers take on financial risk for members and pay for healthcare expenditures based on various plans and reimbursement types. Due to the complexity of reimbursement contracts, many factors (e.g., coding and billing errors, fraud, waste) can contribute to payers sometimes underpaying or overpaying provider organizations. Payment accuracy and integrity solutions help payers make accurate payments and recover losses when overpayments and fraud occur. This report-KLAS' first on this market-aims to identify the main capabilities these solutions provide and show early findings on customer satisfaction with vendors' performance.

Table of Contents

1. ) Executive Insights

2.) Vendor Insights