Zigna’s AI Payor Policy Edit Technology

Most revenue cycle claims editing companies focus on Centers for Medicare and Medicaid (CMS), National Care Determinations (NCD), Local Care Determinations (LCD), and broad national standards. Those are great baselines for medical claim editing, but what moves claims editing from baseline into claims editing with accurate efficiency? How do you decrease denials on the provider side and decrease overpayments on the payor side? 

ZignaAI’s payment policy catalog  

Zigna’s Payment Policy Catalog provides clean and quick access to payor payment policies with the ability to view by subject, line-of-business, payor, facility/professional, and geography. Zigna’s payment policy catalog, with up-to-date policies, has been built with payors and providers in mind. When you need to understand healthcare payment and reimbursement policies from your unique angle, Zigna’s payment policy catalog delivers. 

How is this accomplished? 

ZignaAI‘s Human enabled technology; where AI enhances the human touch to extract payor payment policy edits faster and with increased accuracy. Zigna’s AI editing technology is embedded in RevMaxAI, an application built for payors and providers to improve claims submission accuracy, claims adjudication turn-around, and transparency in healthcare claims billing.  

Pre-pay or post-pay, ZignaAI payment policy catalog with edits is a great fit.  Whether you are focused on claims selections, auditing the claims, applying edits, focused on selecting claims for audit, writing payment policies or researching how to bill with efficiency, ZignaAI may be the solution you need. We would love to hear about your unique needs and how our solutions can help.  



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