Blog
Redefining the Future of Payment Integrity & Healthcare Costs: Five Imperatives for Payers & Providers
Navigating a Pivotal Inflection Point The U.S. healthcare system stands at a critical juncture. With the cost of...
AI Alert June 2025
Navigating Medication Therapy Management: Policies, Practices, and Identifying Potential Fraud, Waste, and Abuse ...
The Cost of Doing Nothing – Why PostPayment Recovery Is No Longer Enough in Payment Integrity
The healthcare payment system is hemorrhaging money, and the traditional "detect and recover" approach in payment...
Congressman Obernolte Sees Artificial Intelligence as the Solution to America’s Healthcare Paradox: World-Class Care with Unsustainable Spending
A Policy Leader with a Technologist’s Lens At the 2025 AI for PI Summit hosted by the AI for Payment Integrity (AI for...
AI Alert May 2025
Fighting Bad Behavior: Addressing Fraud, Waste, and Abuse in Applied Behavior Analysis As Applied Behavior Analysis...
A New Payment Integrity Category at Point Zero: A Better Way to Contain Healthcare Costs While Improving Provider Experience
The U.S. healthcare system is at a breaking point. Healthcare payers are managing overwhelming claims volumes, with...
AI Alert April 2025
Peeling Back the Layer of Skin Substitutes
AI Alert March 2025
Bridging the data gap between medical and dental claims
AI Alert February 2025
Understanding the Impact of Coding Changes on Psychological and Neurological Testing
Optimizing Medical Loss Ratios with AI-Driven Payment Integrity Solutions
Optimizing Medical Loss Ratios with AI-Driven Payment Integrity Solutions
The Future of Healthcare Payment Integrity: Why AI-Driven Early Intervention Matters Now
The Future of Healthcare Payment Integrity: Why AI-Driven Early Intervention Matters Now
The Rising Complexity of Pharmacy Data: A Growing Challenge for FWA Prevention
The Rising Complexity of Pharmacy Data: A Growing Challenge for FWA Prevention
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