Read our experienced team's thought leadership and insight for all areas regarding healthcare claims auditing, payment integrity, provider relations, and cost avoidance.
Data privacy and security are upheld with the highest level of care at ClaimLogiq, which is why we seek the gold standard of data and information, safety, and security certifications – HITRUST CSF®. The importance of this certification is well known in the healthcare industry, and for Payers' payment integrity programs, the benefits of and trust in the safety of this label has no equal.
Our 15-Minute IBill Audit is an end-to-end solution that allows healthcare Payers of any size, shape, or scope to produce quality itemized bill reviews in under 15 minutes. We're maximizing automation with intelligent software and technology that learns and adapts to specific program needs. See first-hand, how the workflow is optimized at every step to minimize provider abrasion, accept customizations, and evolve at the speeds of the healthcare industry.
In the world of healthcare, claims audits can be complicated. It’s no wonder most healthcare plans that don't have the bandwidth to spend days analyzing stacks of paperwork opt to outsource their claim reviews to third-party vendors in order to alleviate the burden.
Some of the trends on the horizon this year may be familiar as they’ve been emerging over the years. The healthcare industry is nothing short of a behemoth and although not resistant to change, it can be rather slow to adapt, even when health crises demand it. However, the eruption of COVID-19 in 2020 and the continuation of the pandemic into another year has put pressure on the healthcare industry to make rapid advancements and sharply change direction, in many cases.
3 Ways ClaimLogiq is Disrupting the 'Black Box" Model of Claim Auditing Sending claims out for audit and waiting on the results to be delivered without any insight into, or control over, the process, is commonly referred to as the 'black box' model of claims auditing. This is especially true of an often disparate process of reviewing high dollar claims, particularly Itemized bills and DRG validations.