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Nov. 13, 2012 /PRNewswire/ -- Emdeon Inc., a leading provider of healthcare revenue and payment cycle management and clinical information exchange solutions, today announced plans to present short, impactful educational sessions relating to its recently launched Emdeon EDGE
™ payment integrity solution suite at Emdeon's in-booth theater (booth 101) during the National Health Care Anti-Fraud Association (NHCAA) conference, which will be held in
Anaheim, California from
November 13-16, 2012. The presentations will examine the evolution of fraud, waste and abuse protection from a solely "pay-and-chase" model to a comprehensive pre-pay through post-pay solution. Emdeon also will highlight how Emdeon EDGE leverages multi-payer data and analytics to effectively fight against healthcare fraud, waste and abuse.
Healthcare fraud, waste and abuse in
the United States continues to be an increasing problem with industry estimates placing the cost upwards of
$200 billion a year. In fact,
a joint letter from the secretary of Health and Human Services and the U.S. attorney general issued in
September 2012 emphasized to healthcare trade organizations the need to ensure accurate and proper healthcare claims, and stated that attempts to "game the system" will not be tolerated.
Emdeon has built a leading payment integrity and cost containment solution by acquiring three market leaders – The Sentinel Group, EquiClaim and TC
3 Health – and integrating them with Emdeon's vast healthcare network. By combining the best of these companies' recognized leadership in fraud, waste and abuse technology, investigation expertise, cost management services and comprehensive audit and recovery services, Emdeon is able to offer healthcare payers one complete solution to help ensure accurate claim payments throughout the adjudication lifecycle.
"In a time where healthcare payers are under immense pressure to control costs, Emdeon's payment integrity solutions can offer the healthcare payer community immediate benefits with minimal investment," said
Terry Cameron, senior vice president of payment integrity for Emdeon. "Emdeon EDGE combines analytics from its multi-payer data with knowledge and expertise to create more efficient payment integrity processes and more savings opportunities."
Emdeon will exhibit Emdeon EDGE and present educational sessions at booth 101 at the NHCAA conference. For more information on Emdeon at NHCAA, please visit
Gaining an Edge on More than Just "Fraudsters"Tuesday, November 13th,
6 pm PTThursday, November 15th,
12:45 pm PTPresented by
Kelli Garvanian, Payment Integrity Solutions Consultant, Emdeon
The term "Payment Integrity" has many definitions within healthcare, mostly associated with fraud. But it addresses much more than just fraud – payment integrity includes identifying incorrect coding, payment errors, misrouted claims and really just about any improper payment. Learn how to gain an edge by applying industry best practices to achieve a holistic, highly-effective payment integrity approach.