Deploying successful clinical validation is a challenging–yet critical–endeavor for health insurance providers. In this session, learn how a plan with 10K members went from insolvency to an average savings of $60.41 per member per year by following MedReview's best practices.
NEW YORK, June 7, 2023 /PRNewswire-PRWeb/ -- Lorenzo Jackson, Sales Account Director at MedReview, Inc. – a leading provider of payment integrity, utilization management and quality surveillance services – will present "Best Practices in Leveraging Clinical Validation for Payment Integrity" at AHIP 2023 in Portland, Oregon. The presentation will be held on Tuesday, June 13, at 6:35 PT.
Deploying successful clinical validation is a challenging–yet critical–endeavor for health insurance providers. In this session, learn how a plan with 10K members went from insolvency to an average savings of $60.41 per member per year by following MedReview's best practices, such as honing in on outliers and applying MedReview's algorithm to select claims to review. Learn about best practices in DRG clinical validation and how to benchmark the outcomes of a successful payment integrity program.
"As we see in this success story, applying a payment integrity solution like MedReview's does not merely stabilize a health plan's revenue–it can make the difference between a plan failing or thriving," Jackson said.
Lorenzo Jackson is an experienced payment integrity professional with nearly 20 years of expertise in the healthcare industry. Throughout his career, Jackson has been dedicated to helping healthcare organizations optimize revenue by identifying and mitigating payment errors and reducing wasteful activity. As a Sales Account Director for MedReview, he is responsible for helping health plans drive revenue growth by building and maintaining strong relationships, understanding needs, and delivering innovative solutions that address unique challenges.
Presentation: Best Practices in Leveraging Clinical Validation for Payment Integrity
Date/Time: Tuesday, June 13, 2023 | 6:35 PM PT
Location: Presentation Theater #1: Booth 1137 (Halls C-D, Level 1)
Presenter: Lorenzo Jackson, MBA, MHSA, Sales Account Director, MedReview Inc.
MedReview offers healthcare payers innovative, physician-led payment integrity solutions to help fight healthcare fraud, waste and abuse. The company's clinically driven approach to DRG claim review has resulted in a total of $351 million in savings back to payer clients last year.
About MedReview
Headquartered in the financial district of New York City and serving all U.S. states and territories, MedReview has been a leading provider of payment integrity, utilization management and quality surveillance services for more than 40 years. A physician-led organization with a passion for ensuring that health care claims fairly represent the care provided, MedReview provides timely independent hospital billing audits and clinical validation reviews on behalf of health plans, government agencies and Taft-Hartley organizations, saving millions of dollars for its clients each year.
Media Contact
Sven Gustafson, Envision Health, 313-575-3800, [email protected]
SOURCE MedReview
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