This book shows private practitioners how to automate and enable state-managed insurance claim payment audits in real time.

Is your practice profitable and compliant? Some state-managed insurance company audits have discovered up to 30% in mishandled and wrongly denied claims. This book shows private practitioners how to automate and enable such insurance claim payment audits in real time. You' will discover how to: - Improve your cash flow and reduce audit risk using Straight-Through Processing (STP) technologies - Design and implement industrial-grade network standards for continuous billing quality improvement and compliance maintenance - Reduce operations risk and improve your balance sheet using Software as a Service (SaaS) and outsourcing Understand the rules of the modern "payer-provider conflict" and learn to apply and manage winning Internet strategies, such as the "billing network effect." Gain further insight from guest chapters by Dennis Alessi, Esq., of Mandelbaum, Salsburg, Gold, Lazris & Discenza, PC; Eric Fishman, MD, of EHR Scope; Joe Kamelgard, MD, of Billing Integration, LLC; and Erum Raza, Esq, of Fox Rothschild, LLP.