PAYMENT INTEGRITY
Prevent and Recover Overpayments
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PAYMENT INTEGRITY SOLUTIONS
THE RISING COST OF CARE
$ 5000000000000 +
IN ANNUAL HEALTHCARE SPEND
Healthcare spending in the U.S. is approaching $5 trillion annually—almost double the per capita cost of other developed nations. Yet studies indicate that approximately 25% of this spending does not contribute to better health outcomes.
IMAGINE THE POSSIBILITIES IF WE COULD REDUCE INEFFICIENCIES OPTIMIZE FINANCIAL PERFORMANCE ELIMINATE WASTE ENHANCE HEALTHCARE VALUE
At 6 Degrees Health, our payment integrity solutions are designed to identify and eliminate waste, helping clients reduce inefficiencies, optimize financial performance, and enhance overall healthcare value.
CLEAN CLAIM REVIEWS (ITEMIZED BILL REVIEWS)
Clean Claim Reviews, also referred to as itemized bill reviews (IBR), are a component of our Payment Integrity program that provide detailed clinical reviews of inpatient hospital claims, ensuring claims are paid accurately the first time, every time.
Learn More About Clean Claim Reviews ➞
DATA MINING AND RECOVERY
Our data mining solution pinpoints issues such as duplicate claims, incorrect eligibility, network problems, billing errors, and coverage overlaps.
Learn More About Data Mining & Recovery ➞
CUSTOM OUT-OF-NETWORK SOLUTIONS
Our solution drives savings on out-of-network claims without disrupting your plan design.
Learn More About Customized OON ➞
WHAT CLIENTS ARE SAYING
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