Tag: claims auditing automation

AI in Payment Integrity

What AI Can and Can’t Yet Do in Payment Integrity

The landscape of payment integrity, particularly within complex sectors like healthcare and financial services, is constantly evolving. As organizations grapple with escalating costs, intricate regulatory frameworks, and the persistent threat of fraud, waste, and abuse (FWA), Artificial Intelligence (AI) has emerged as a powerful ally. While AI’s capabilities in enhancing payment integrity are undeniably transformative, […]