Payment Integrity Solutions

Helping managed care organizations and health systems uncover payment recovery opportunities
and implement new strategies for medical and administrative cost savings.

A Critical Lever in Total Cost of Care

A robust, end-to-end payment integrity program is an essential and often overlooked cornerstone for health plans seeking to optimize medical and administrative expense.

 

Our Payment Integrity practice will help with:

 

  • Identifying the best focus areas to build or expand your program
  • Creating a customized, optimal structure that leverages both vendors and internal processes to maximize savings.
Hands holding piggy bank

Solutions for Improved Financial Outcomes

 

Clearlink’s Payment Integrity Solutions help our clients maximize payment integrity performance by optimizing their vendor relationships, establishing internal capabilities, and maximizing the return on payment integrity investments.

SOLUTION OPTIMIZATION

Utilize our expertise to choose the best payment integrity content for your plan including where it fits within your workflow

VENDOR OPTIMIZATION

Improve vendor footprint and progress vendor performance while ensuring effective governance and strategy to meet short- and long-term goals

INTERNAL OPTIMIZATION

Develop and enhance your internal program, remediate the root cause of ongoing issues, minimize administrative fees, and maximize ROI on overall payment integrity strategy

“Payment Integrity is constantly evolving with many complexities to navigate. We specialize in developing end-to-end strategies that enable our clients to quickly establish mature programs that will provide sustainable value well beyond our engagement.”

Sean Henderson
EVP Payment Integrity

Accelerate Your Payment Integrity Strategy Forward

 

Our thorough Opportunity Assessment is an evaluation of your Payment Integrity operations. Leading experts from Clearlink will review your existing Payment Integrity services, including audit concepts, tools, software, vendor performance, organizational design, and more. The output of the assessment is a list of targeted opportunities and estimated savings so that you can be assured of value and confident in your selection of Clearlink Partners to optimize your Payment Integrity strategy.

Get started with your Opportunity Assessment Here!