Benefits
LexisNexis® PrePayment Manager™ acts as management’s command center for avoiding the payment of potentially fraudulent claims. The easy-to-use Graphical User Interface (GUI) is specifically designed for use by Special Investigations Unit (SIU) management to conduct pre-payment anti-fraud examinations of claims intercepted by provider relations, medical directors, finance and audit, among other points in the process. The system works across all health care claim types, including medical, facility, pharmaceutical and dental.
Clients benefit from:
- Higher savings associated with not having to “pay and chase”
- More effective and defendable investigations as a result of leveraging rules that have been proven against billing patterns identified in existing claims history
- Improved SIU efficiency through the use of Resolution WorkbenchLexisNexis® Resolution Workbench™
- Mitigation of potential patient safety issues, a concept that encompasses medical necessity
Get it now: For more information about LexisNexis® PrePayment Manager™, call 800.869.0751.
Features
PrePayment Manager is designed for maximum flexibility in configuration, enabling instant intervention and allowing each organization to utilize its established policies and procedures regarding adjudication and investigation.
Features include:
- Advanced predictive analytic technology engine
- User friendly interface
- Full integration with LexisNexis® Intelligent Investigator™
- Integration with LexisNexis® Resolution Workbench™ automated payment decision tool
Get it now: For more information about LexisNexis® PrePayment Manager™, call 800.869.0751.
