Current State of Healthcare Payment Integrity: Article 1
Understanding what healthcare payment integrity entails and why there is renewed interest
Payment integrity encompasses efforts on the part of payers and healthcare providers alike to navigate ongoing challenges relative to achieving accurate and efficient payment. Having a system of payment integrity processes in place is essential for ensuring financial accuracy, maintaining compliance with regulators, optimizing the overall healthcare delivery system, and removing administrative waste which can have a negative impact on patient care and quality outcomes.