Read our experienced team's thought leadership and insight for all areas regarding healthcare claims auditing, payment integrity, provider relations and cost avoidance.
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.
At ClaimLogiq, we pride ourselves on the credibility of our data. The millions of dollars in charges that we save our clients mean nothing if they can’t trust our rationale or that the data is safe and secure.
At ClaimLogiq, we are a technology and software company focused on innovating the often-archaic methods of claim auditing. Payment integrity, in the past, has meant manually looking through a stack of paperwork to check thousands of lines of medical codes for errors. We're making claims logical through the use of technology. Our HITRUST CSF certified platform is able to find IBill errors in 20 minutes -- compare that to the two-plus days that checking the stack of paperwork would take. SaaS, or Software-as-a-Service companies are known for innovating and automating work that can solve all kinds of problems. But have you ever found yourself asking "Why can't I just talk to a human!?" Sometimes, SaaS companies can solve one problem with technology, but unknowingly cause another due to lack of personalization and customization for the client. At ClaimLogiq, however, personalization, customization, and excellent communication are some of our core values. Not only are they built into the foundation of our software, but we uphold them in our client relationships and our work every day. As our tagline states, to us, it really is personal. But how do we prove it?
Scientists and doctors are constantly innovating to find new and better ways to learn about, treat, or even cure ailments or diseases that affect us. There will always be a newer, possibly better solution on the horizon. However, innovations in healthcare shouldn't be taken for granted. In fact, it's important that we don't think of innovations in health care as expected or able to be achieved with the same players, but rather, encourage those willing to find new solutions to do so.