Emdeon Continues Payment Integrity Focus, Offers Educational Presentations During NHCAA

  Emdeon Continues Payment Integrity Focus, Offers Educational Presentations
                                 During NHCAA

PR Newswire

NASHVILLE, Tenn., Nov. 13, 2012

NASHVILLE, Tenn., Nov. 13, 2012 /PRNewswire/ --Emdeon Inc., a leading
provider of healthcare revenue and payment cycle management and clinical
information exchange solutions, today announced plans to present short,
impactful educational sessions relating to its recently launched Emdeon EDGE™
payment integrity solution suite at Emdeon's in-booth theater (booth 101)
during the National Health Care Anti-Fraud Association (NHCAA) conference,
which will be held in Anaheim, California from November 13-16, 2012. The
presentations will examine the evolution of fraud, waste and abuse protection
from a solely "pay-and-chase" model to a comprehensive pre-pay through
post-pay solution. Emdeon also will highlight how Emdeon EDGE leverages
multi-payer data and analytics to effectively fight against healthcare fraud,
waste and abuse.

Healthcare fraud, waste and abuse in the United States continues to be an
increasing problem with industry estimates placing the cost upwards of $200
billion a year. In fact, a joint letter from the secretary of Health and Human
Services and the U.S. attorney general issued in September 2012 emphasized to
healthcare trade organizations the need to ensure accurate and proper
healthcare claims, and stated that attempts to "game the system" will not be

Emdeon has built a leading payment integrity and cost containment solution by
acquiring three market leaders – The Sentinel Group, EquiClaim and TC^3 Health
– and integrating them with Emdeon's vast healthcare network. By combining the
best of these companies' recognized leadership in fraud, waste and abuse
technology, investigation expertise, cost management services and
comprehensive audit and recovery services, Emdeon is able to offer healthcare
payers one complete solution to help ensure accurate claim payments throughout
the adjudication lifecycle.

"In a time where healthcare payers are under immense pressure to control
costs, Emdeon's payment integrity solutions can offer the healthcare payer
community immediate benefits with minimal investment," said Terry Cameron,
senior vice president of payment integrity for Emdeon. "Emdeon EDGE combines
analytics from its multi-payer data with knowledge and expertise to create
more efficient payment integrity processes and more savings opportunities."

Emdeon will exhibit Emdeon EDGE and present educational sessions at booth 101
at the NHCAA conference. For more information on Emdeon at NHCAA, please visit

Gaining an Edge on More than Just "Fraudsters"
Tuesday, November 13^th, 6 pm PT
Thursday, November 15^th, 12:45 pm PT
Presented by Kelli Garvanian, Payment Integrity Solutions Consultant, Emdeon

The term "Payment Integrity" has many definitions within healthcare, mostly
associated with fraud. But it addresses much more than just fraud – payment
integrity includes identifying incorrect coding, payment errors, misrouted
claims and really just about any improper payment. Learn how to gain an edge
by applying industry best practices to achieve a holistic, highly-effective
payment integrity approach.

Unbelievable Tales of Fraud You've Thwarted – And What We Can Learn From Them
Wednesday, November 14^th, 6 pm PT
Presented by Kelli Garvanian, Payment Integrity Solutions Consultant, Emdeon

We all have them – stories that confirm fact can be stranger than fiction.
Join industry thought leader Kelli Garvanian as she retells some of the
craziest tales Emdeon has helped expose – and what you can learn from them.
Then, we'll hand the microphone over to the audience and let you share your
wildest stories and how they made you and your company better. Face it, a
benefit of our industry is getting to share the stuff you just can't make up,
so don't miss this session. We're sure this one is going to become an annual

In addition, be sure to check out the following NHCAA concurrent workshop
sessions on Thursday, November 15^th that will be presented by Emdeon:

The Payment Integrity Paradigm Shift: Ensuring the Financial Health of your
7:00 am PT
Presented by Jean Lyon, RN, MS – Vice President – Payment Integrity, Emdeon

How does a pre-payment versus post-payment fraud, waste and abuse prevention
program measure up? What are the benefits and risks of both methods? Learn
the components of a successful pre-payment investigation, along with a number
of case studies that illustrate the advantages of the pre-payment approach.

Building Smart Analytics to Eliminate False Positives in Fraud Detection
10:45 am PT

Presented by:

  oKelli Garvanian – Payment Integrity Solutions Consultant, Emdeon
  oBart Masters – Payment Integrity Analytics Statistician, Emdeon

False positives drain your resources. With advances in technology and data
access, you can lessen their impact. Learn how using smarter analytics can
help keep you focused on the cases that really are real.

About Emdeon
Emdeon is a leading provider of revenue and payment cycle management and
clinical information exchange solutions, connecting payers, providers and
patients in the U.S.healthcare system. Emdeon's offerings integrate and
automate key business and administrative functions of its payer and provider
customers throughout the patient encounter. Through the use of Emdeon's
comprehensive suite of solutions, which are designed to easily integrate with
existing technology infrastructures, customers are able to improve efficiency,
reduce costs, increase cash flow and more efficiently manage the complex
revenue and payment cycle and clinical information exchange processes.For
more information, visit www.emdeon.com.

SOURCE Emdeon Inc.

Website: http://www.emdeon.com
Contact: Amanda Woodhead, Media Relations, +1-615-932-3863,
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