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MEDICAID PAYMENT INTEGRITY HHS OIG REPORT SYRTIS SOLUTIONS

31 Aug BETTER COVERAGE DATA CAN STRENGTHEN MEDICAID PAYMENT INTEGRITY

Posted at 10:15h in Payment Integrity by Eliott K

Medicaid payment integrity depends on accurate, timely information being available when claims are processed. An August 2026 HHS OIG audit found continued shortcomings in federal payment integrity efforts and reported an increase in Medicaid's improper payment rate for FY2025. The HHS OIG report found Medicaid's improper...

MEDICAID ENROLLMENT UTILIZATION COSTS TO INCREASE SYRTIS SOLUTIONS

31 Oct MEDICAID’S CHALLENGES WITH THIRD-PARTY LIABILITY

Posted at 19:19h in Third-Party Liability by Eliott K

Third-party liability, also referred to as TPL, is the legal obligation of third parties to pay part or all of the costs for medical assistance under a Medicaid state plan. Simply put, if a beneficiary has other forms of health insurance, those primary payers are...

OIG Tag

31 Aug BETTER COVERAGE DATA CAN STRENGTHEN MEDICAID PAYMENT INTEGRITY

31 Oct MEDICAID’S CHALLENGES WITH THIRD-PARTY LIABILITY

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