Read our experienced team's thought leadership and insight for all areas regarding healthcare claims auditing, payment integrity, provider relations, and cost avoidance.
ClaimLogiq makes claim reviews logical – from Payer to Payer, Provider to Provider, and review to review – by allowing unparalleled cross-collaboration in real time across work silos. TrueCost enables this real-time cross-collaboration through its seamless design, user-specific access levels, total transparency into every stage of the process, and options for real-time two-way communication within claims themselves. That’s a lot of moving parts, I know. And when it comes to manual claim reviews, or using most claim review softwares, real-time cross-collaboration and multiple users having access to the review/platform risks further human error, messy chains of command, and drawn out turnaround times. But before you get any heartburn from the thought of your workflows being unintentionally tampered with, know that TrueCost is uniquely positioned to protect your claim review processes – with Workflow Guardrails.
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.
While the typical hospital claim review can take days to weeks – ClaimLogiq’s solutions empower analysts to finalize reviews in hours, even minutes. Now, ClaimLogiq has announced the 15-Minute IBill audit as part of our regular claim lifecycle audits. The breakthrough 15-Minute IBill Audit is game-changing for payers of all shapes and sizes. Now, lengthy audits for complex hospital itemized bills, and unavoidable overpayments and recovery efforts, are a thing of the past.
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.
All payment integrity programs are not created equal. The process for implementing a payment integrity program will look different for every healthcare plan -- and for good reasons. However, it is possible to successfully implement these differing payment integrity programs in under 90 days with the right business partnership and aggressive (yet very achievable) tactics and strategies. 90 days might seem ambitious, but, when payers work with a partner that is capable of bridging any gaps in the implementation process, it is possible to achieve swift implementation timelines. When we approach all client relationships as true business partnerships, it benefits all areas of every program execution. Our operational execution is second to none, our team is stacked with experts with decades of experience in the payment integrity space, and our TrueCost solution offers transparency, client-driven control, customizability and flexiblity to meet every need. These factors are what sets ClaimLogiq apart -- not just during the implementation phase -- so we're ready to move as fast as our clients can when it comes to crossing major milestones of any program implementation.
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?
What are the costs for payers, providers and patients in moving towards a historic healthcare price transparency model? We know that payers and providers negotiate specific pricing tiers and strategy regarding both small and complex healthcare visits and procedures, but, what would that look like up-front to the patient?