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View the report. One of our long-standing payer clients was looking to streamline their payment integrity program, specifically their Diagnosis-Related Group DRG auditing solutions. As their most trusted and first-pass post-pay vendor for DRG coding and clinical auditing services, they approached EXL when looking to reduce vendors to decrease administrative and operational workloads within vendor management. View More. Payment integrity Payment integrity. View our report.
Payment integrity. Home Industries Health Payment integrity. Who we serve. Supporting payers in identifying and decreasing administrative waste, reducing overall health claim expenditures, and optimizing revenue opportunities while improving member care quality and effectively managing population risk. Serving provider organizations looking to proactively manage risk, improve quality outcomes and optimize network performance.
What we do. Payment Capacity Services. Coding review Claims audit Appeal management Special investigation unit. Digital Transformation Services. Payment policy management Digitally enabled PI operations Selection analytics expertise Data science expertise Audit workflow management software. Optimal Analytics: Identifying strategies and levers improve overall workflow performance.
View More. Payment services Payment services. Ensure payment claim accuracy and reduce fraud, waste, and abuse. Get in touch. Payment services. Home Industries Health Payment services. Who we serve. Together, we work with you to meet your current and dynamic business challenges. We help you find more recoverable savings, reduce provider abrasion, quickly respond to industry changes, and maximize performance.
We help provider organizations proactively manage risk, improve quality outcomes, optimize network performance, accelerate revenue recognition, and drive member experience.