Surprise billing may feel like a patient problem, but the ripple effects hit everyone working in healthcare. Confusion, denied claims, delayed payments—one disagreement between a provider and a health plan can slow down entire workflows. That’s exactly why the No Surprises Act (NSA) introduced the Independent Dispute Resolution (IDR) process. If you understand how IDR works, you’re…
Fraud, Waste, and Abuse (FWA) is more than just a compliance requirement. It’s a real threat to patient safety, financial stability, and trust in the healthcare system. False claims, improper billing, and unnecessary services place a heavy burden on organizations, and the U.S. healthcare system loses billions of dollars every year because of FWA. Beyond the financial impact, these…
*This post first appeared in the India Express as an editorial from SkillUp Group CEO, JPS Kohli A recent Intel survey predicted that by the end of 2019, a massive 70% of Indian companies will have deployed some form of AI-enabled business solution. That prediction echoes another Gartner report indicating that 75% of the million-plus…
