支付准确性和完整性解决方案 (2023)：专注于财务成果

医疗保健付款人为会员承担财务风险，并根据各种计划和报销类型支付医疗保健支出。报销协议很复杂，许多因素（例如编码和计费错误、欺诈和浪费）可能会导致报销提供者支付不足或多付。支付准确性和完整性解决方案可协助付款人准确付款并在发生多付款或诈骗时挽回损失。

该报告分析了支付准确性和完整性解决方案的市场，确定了这些解决方案提供的关键功能，并检查了客户对供应商绩效的满意度。

目录

第1章 执行见解

第2章 供应商的考察

Payers take on financial risk for members and pay for healthcare expenditures based on various plans and reimbursement types. Due to the complexity of reimbursement contracts, many factors (e.g., coding and billing errors, fraud, waste) can contribute to payers sometimes underpaying or overpaying provider organizations. Payment accuracy and integrity solutions help payers make accurate payments and recover losses when overpayments and fraud occur. This report-KLAS' first on this market-aims to identify the main capabilities these solutions provide and show early findings on customer satisfaction with vendors' performance.

Table of Contents

1. ) Executive Insights

2.) Vendor Insights