Waste Not, Want Not in Healthcare Using CGI and Altair – Using Analytics to Promote Payment Integrity

Presentation by Gary Jackson, Director Consulting Expert, Artificial Intelligence & Blockchain at CGI as part of Altair's Future.Industry 2024 conference.

Payment integrity is the process by which health plans and payers ensure healthcare claims are paid accurately, both in a pre-pay and post-pay context. It encompasses determining the correct party, membership eligibility, contractual adherence, and fraud, waste and abuse detection and prevention.