Emdeon Continues Payment Integrity Focus, Offers Educational
Presentations During NHCAA
NASHVILLE, Tenn., Nov. 13, 2012 /PRNewswire/ -- Emdeon Inc., a
leading provider of healthcare revenue and payment cycle management
and clinical information exchange solutions, today announced plans
to present short, impactful educational sessions relating to its
recently launched Emdeon EDGE™ payment integrity
solution suite at Emdeon's in-booth theater (booth 101) during the
National Health Care Anti-Fraud Association (NHCAA) conference,
which will be held in Anaheim,
California from November 13-16,
2012. The presentations will examine the evolution of fraud,
waste and abuse protection from a solely "pay-and-chase" model to a
comprehensive pre-pay through post-pay solution. Emdeon also will
highlight how Emdeon EDGE leverages multi-payer data and analytics
to effectively fight against healthcare fraud, waste and abuse.
Healthcare fraud, waste and abuse in the United States continues to be an
increasing problem with industry estimates placing the cost upwards
of $200 billion a year. In fact, a
joint letter from the secretary of Health and Human Services and
the U.S. attorney general issued in September 2012 emphasized to healthcare trade
organizations the need to ensure accurate and proper healthcare
claims, and stated that attempts to "game the system" will not be
tolerated.
Emdeon has built a leading payment integrity and cost
containment solution by acquiring three market leaders – The
Sentinel Group, EquiClaim and TC3 Health – and
integrating them with Emdeon's vast healthcare network. By
combining the best of these companies' recognized leadership in
fraud, waste and abuse technology, investigation expertise, cost
management services and comprehensive audit and recovery services,
Emdeon is able to offer healthcare payers one complete solution to
help ensure accurate claim payments throughout the adjudication
lifecycle.
"In a time where healthcare payers are under immense pressure to
control costs, Emdeon's payment integrity solutions can offer the
healthcare payer community immediate benefits with minimal
investment," said Terry Cameron,
senior vice president of payment integrity for Emdeon. "Emdeon EDGE
combines analytics from its multi-payer data with knowledge and
expertise to create more efficient payment integrity processes and
more savings opportunities."
Emdeon will exhibit Emdeon EDGE and present educational sessions
at booth 101 at the NHCAA conference. For more information on
Emdeon at NHCAA, please visit www.emdeon.com/nhcaa2012.
Gaining an Edge on More than Just
"Fraudsters"
Tuesday, November
13th, 6 pm PT
Thursday, November 15th,
12:45 pm PT
Presented by Kelli Garvanian,
Payment Integrity Solutions Consultant, Emdeon
The term "Payment Integrity" has many definitions within
healthcare, mostly associated with fraud. But it addresses much
more than just fraud – payment integrity includes identifying
incorrect coding, payment errors, misrouted claims and really just
about any improper payment. Learn how to gain an edge by applying
industry best practices to achieve a holistic, highly-effective
payment integrity approach.
Unbelievable Tales of Fraud You've Thwarted – And What We
Can Learn From Them
Wednesday,
November 14th, 6 pm
PT
Presented by Kelli Garvanian,
Payment Integrity Solutions Consultant, Emdeon
We all have them – stories that confirm fact can be stranger
than fiction. Join industry thought leader Kelli Garvanian as she retells some of the
craziest tales Emdeon has helped expose – and what you can learn
from them. Then, we'll hand the microphone over to the audience and
let you share your wildest stories and how they made you and your
company better. Face it, a benefit of our industry is getting to
share the stuff you just can't make up, so don't miss this session.
We're sure this one is going to become an annual favorite!
In addition, be sure to check out the following NHCAA
concurrent workshop sessions on Thursday,
November 15th that will be presented by
Emdeon:
The Payment Integrity Paradigm Shift: Ensuring the
Financial Health of your Organization
7:00 am PT
Presented by Jean Lyon, RN, MS –
Vice President – Payment Integrity, Emdeon
How does a pre-payment versus post-payment fraud, waste and
abuse prevention program measure up? What are the benefits
and risks of both methods? Learn the components of a successful
pre-payment investigation, along with a number of case studies that
illustrate the advantages of the pre-payment approach.
Building Smart Analytics to Eliminate False Positives in
Fraud Detection
10:45 am
PT
Presented by:
- Kelli Garvanian – Payment
Integrity Solutions Consultant, Emdeon
- Bart Masters – Payment Integrity
Analytics Statistician, Emdeon
False positives drain your resources. With advances in
technology and data access, you can lessen their impact. Learn how
using smarter analytics can help keep you focused on the cases that
really are real.
About Emdeon
Emdeon is a leading provider of revenue
and payment cycle management and clinical information exchange
solutions, connecting payers, providers and patients in the
U.S. healthcare system. Emdeon's offerings integrate and
automate key business and administrative functions of its payer and
provider customers throughout the patient encounter. Through the
use of Emdeon's comprehensive suite of solutions, which are
designed to easily integrate with existing technology
infrastructures, customers are able to improve efficiency, reduce
costs, increase cash flow and more efficiently manage the complex
revenue and payment cycle and clinical information exchange
processes. For more information, visit www.emdeon.com.
SOURCE Emdeon Inc.