iHT combines Insights, Technology and Business Process to address client needs.
Learn about Connolly Payment Integrity Solutions
- Payment Policy Management: The Pre-payment application of client specific clinical payment policy to assure accurate application of clinical coding in claims payment.
- Claims Review Services:
The clinical and coding review of the supporting documentation for claims to assure accurate coding guidelines were used for the basis of payment.
ANALYTICS AND OPERATIONAL EXCELLENCE:
- Contract Compliance
- Coordination of Benefits
- Medical Chart Review
- Multiple Payments
- Pharmacy Audit
- Provider Billing Compliance
- Specialty Subrogation
Clinical and business process optimization solutions that address needs which impact medical costs, administrative costs, operational execution, and revenue. Solutions include applications in Business Intelligence, Star Rating, Medication Therapy Management, anti-FWA, and Care Management operations.