IPS Blog
Insights on Claims Administration, Compliance, and Healthcare Operations
Read the latest blogs from Integrated Payor Solutions covering healthcare claims administration, the No Surprises Act (NSA), the Transparency in Coverage Rule (TiC), operational strategy, and trends impacting TPAs, ASOs, networks, and health plans.
Why Scalability Matters in Medicare Advantage
Organizations that want to enter Medicare Advantage or grow what they already administer understand that CMS compliance matters. The harder question is whether their systems can support the work when enrollment grows, reporting gets more complex, or an audit request lands without warning. In this article, Shawn discusses what Medicare Advantage scalability really requires behind the scenes.
Integrated Payor Solutions Partners with Yuzu Health to Revolutionize Digital Self-Funded Health Plans
Integrated Payor Solutions (IPS), a benefits administration and compliance solutions provider, is collaborating with tech-powered TPA Yuzu Health (Yuzu) to engineer a new generation of self-funded health plans that enhance and customize member experience, support, and value. Driven by a mutual care to improve the way members and employers handle healthcare and a need for modernized integration and adjudication, Yuzu is leveraging its collaboration with IPS to offer creative plan offerings to the industry’s most forward-thinking employer groups and brokers.
Integrated Payor Solutions Completes Price Comparison Tool Built for No Surprises Act Compliance and Shares its Success
Integrated Payor Solutions, a company providing the industry-leading No Surprises Act Compliance Solution, announced the success of its Transparency+ tool and its impact on the healthcare industry. Integrated Payor Solutions created the Transparency+ tool, a solution focused on the No Surprises Act and Transparency In Coverage Rule. Transparency+ was founded on a powerful platform, Salesforce, and its features include machine-readable files, and now, the price comparison tool.
Update: Final Surprise Medical Billing Rules
Are you prepared for 2023 enforcements for Transparency in Coverage compliance? Following the Federal Departments’ release of the Final Rule on August 19, 2022, additional clarity on the Transparency in Coverage Rule for self-funded health plans outlines expectations for maintaining compliance with upcoming enforcement deadlines. Learn about some of the key updates.
Integrated Payor Solutions Finalizes Build for Machine-Readable Files Component of Bolt-On Transparency Compliance Solution
Integrated Payor Solutions, a company providing a full-stack tech solution for medical claims processing and bolt-on compliance solution for the No Surprises Act (NSA), announced the completion of the machine-readable files component of their NSA solution, Transparency+.
Integrated Payor Solutions Partners with Cornerstone Preferred Resources to Provide Advanced EOB Solution, Transparency+
Integrated Payor Solutions, a company providing a full-stack tech solution for medical claims processing, announced a new relationship with Cornerstone Preferred Resources (CPR), a Houston-based third-party administrator, to provide a software solution that helps CPR achieve compliance with new price transparency requirements.
Integrated Payor Solutions Signs Contract with Hawaii Mainland Administrators, LLC to Provide Emerging Advanced EOB Solution
Integrated Payor Solutions, a full-stack tech solution for medical claim processing, announced a new relationship with Arizona-based, third-party administrator Hawaii Mainland Administrators. “We’re thrilled to be partnering with leading TPA Hawaii Mainland Administrators,” said Shawn Evans, CEO of Integrated Payor Solutions. “With the No Surprises Act looming, Hawaii Mainland Administrators needed an immediate solution for the transparency act and we’re proud to deliver that with Transparency+.”
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