Molina Healthcare Announces Best-in-Class Partners Supporting Payment Integrity Program
27 February 2019 - 4:00AM
Business Wire
Molina Healthcare, Inc. (NYSE: MOH) today announced the Company
is upgrading its technology to improve its claims payment speed and
accuracy. Throughout 2018, Molina Healthcare has been focused on
modernizing payment integrity capabilities. This includes updating
editing software and deploying advanced analytics to identify
irregular and invalid payments. To further these efforts, Molina
has expanded agreements with Change Healthcare, Cogitativo,
Cotiviti, HMS, and Optum, leveraging each company’s software to
evolve the Company’s payment integrity efforts to support claims
payment accuracy.
“By partnering with best-in-class suppliers to improve our
payment integrity operations, Molina will be able to ensure claims
are paid correctly, which has many benefits – from reduced fraud,
waste, and abuse to significant cost savings that the Company will
realize immediately,” said Jim Woys, executive vice president of
health plan services. “Improved payment integrity maximizes the
Company’s ability to manage claims, reimbursement, and recovery
analytics tools to ensure comprehensive accuracy across all
transactions.”
In addition to the upgraded technology enabled by these vendor
agreements, Molina is streamlining internal processes to ensure
efficiency across departments while meeting any state-specific
regulations.
About Molina Healthcare
Molina Healthcare, Inc., a FORTUNE 500 company, provides managed
healthcare services under the Medicaid and Medicare programs and
through the state insurance marketplaces. Through its locally
operated health plans, Molina Healthcare served approximately 3.8
million members as of December 31, 2018. For more information about
Molina Healthcare, please visit molinahealthcare.com.
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