Question: Do you know of a company that offers comprehensive, end-to-end services for healthcare providers, including claim operations and payment integrity?

If you need a company that can handle all the operations of a healthcare provider, including claims and payment integrity, Sagility is a strong contender. Sagility is an industry solution that combines machine learning, artificial intelligence and cloud-native applications to provide services such as revenue cycle management, claim operations, engagement services and payment integrity. With its Business Process as a Service (BPaaS) solutions, Sagility serves hospitals, health systems, physician groups, labs, DME companies and ancillary providers, automating administrative tasks and maximizing cost recovery.

Another contender is Smart Data Solutions, which offers a variety of tools to automate healthcare workflows. That includes Digital Mailroom for processing documents, Data Capture for validating data, Claims Operations for automating business processes, Clearinghouse services for full clearinghouse solutions and Interoperability for streamlined interactions with trading partners. The tools can improve claims quality and speed while reducing costs, making operations more manageable and efficient.

Availity also offers a broad platform for healthcare providers and payers. Its integrated provider engagement platform streamlines administrative and clinical workflows using AI to reduce waste and improve patient care. Availity's suite includes revenue cycle management, eligibility and coverage solutions, AI-powered prior authorization tools and denial prevention and management. The platform handles more than 13 billion transactions per year and can help drive operational excellence and better patient care.

For healthcare organizations looking to improve payment accuracy and performance, Cotiviti has a powerful healthcare analytics system. It combines large clinical and financial data sets, advanced technology and specialized expertise to help healthcare systems evaluate performance. Cotiviti's solutions include Payment Accuracy, Risk Adjustment, Quality and Performance, Consumer Engagement and Retail Solutions, which ensure payment integrity, improve risk adjustment and drive better quality and performance.