First few Article Sentences
The onset of the COVID-19 pandemic created significant, highly publicized upheaval to the health care delivery system. Equally disruptive, the industry also had to face a delayed impact to COVID-19 payer claims processing workflow and provider revenue cycle.
With the millions of transactions that health care payers process and the billions of dollars paid each year to providers, COVID-19-related claims significantly increased the likelihood of payment integrity risks.
Performing an audit of health care claims could help payers and self-insured employers uncover these mistakes, reduce medical expenses, and improve the member’s experience, which underscores employee overall satisfaction with employer benefit plans and cost controls.