Healthcare Payment Integrity Resources

Explore Machinify's healthcare payment integrity resources, including expert analysis on AI, audit strategy, and claims accuracy.

HIT Consultant | Payment Integrity in Healthcare: Challenges and Solutions

It shouldn’t surprise you to read that healthcare costs have been going up and are expected to continue to do so into 2025, burdening all stakeholders.

November 11, 2024

What is Payment Integrity?

To understand what payment integrity means, it's important to first explore the payer claims process and the role payment integrity plays.

November 04, 2024

4 Times to Never Use AI in Healthcare

What is AI best suited for? Hearing examples of when to never use AI in healthcare may not be exactly what you were expecting.

October 16, 2024

DOTMed | Solving for Technical Debt in Healthcare

Technical debt—the idea that IT systems are owed updates because teams “borrowed” against long-term quality in service of short-term workability—is on the rise.

October 15, 2024

I, AI: Rules to Remember When Using AI in Healthcare

To ensure safe, responsible investments in AI, payers need to consider the applications of AI and how to use it safely.

October 09, 2024

The Dirty Dozen: 12 Most Common Upcoding Errors

With a lack of standardized criteria for identifying codes, there’s a disconnect between providers and payers, resulting in upcoding errors.

September 24, 2024

Press Release: The Rawlings Group, Apixio Payment Integrity, and VARIS Merge to Form Next-Generation Payment Accuracy and Integrity Platform

The comprehensive, technology-enabled platform will leverage data and artificial intelligence to reduce healthcare costs for health plan clients.

September 05, 2024

Machinify Spins Out Auth App to Evolent in Strategic Deal

Evolent, a leader in enabling better health outcomes for complex conditions, will be acquiring our Machinify Auth application.

June 03, 2024

Change Healthcare’s Breach and How You Can Address the Backlog

The most “significant and consequential cyberattack in American history” began when Change Healthcare responded to a cyber threat.

May 07, 2024

Podcast: Harness the Power of AI to Transform Healthcare Administration

With artificial intelligence (AI) top of mind for healthcare payers, they are beginning to search for ways to incorporate this novel technology into different areas of their workflow.

April 24, 2024

Machinify Debuts Healthcare Industry’s Most Comprehensive Application Suite

Machinify announced a comprehensive suite of apps designed to address the entire healthcare claims lifecycle, from prior authorization through final payment.

March 07, 2024

Healthcare IT Today | Enhancing Payment Integrity in Healthcare through Pre-Payment Reviews

The outdated pay-and-chase model recovers only a fraction of overpayments. See how shifting to pre-payment integrity can transform accuracy, efficiency, and trust in healthcare payments.

February 04, 2024