Leveraging Payment Integrity to Maximize RBP Savings

Referenced-based Pricing is a great tool to contain costs while fairly reimbursing claims, but without the proper payment integrity programs how do we know the claim is correct before repricing? Payment Integrity expert Katy Brant explores the ways high dollar bill reviews can enhance the overall savings in reference-based pricing. Katy will provide case study examples of complex claims and how a deep dive clinical review can uncover significant errors which can be leveraged in balance bill settlements with challenging providers.

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