Discover how to turn price transparency from a regulatory requirement into a strategic advantage across revenue cycle management and payment integrity. This session will explore how hospitals and health plans can leverage pricing data to drive smarter audits, reduce payment disputes, and strengthen compliance, all while improving patient trust and financial outcomes.
Learning Objectives:
- Understand how both hospitals and health plans can integrate pricing data into payment integrity processes to proactively identify discrepancies, minimize denials, and resolve disputes more efficiently.
- Learn best practices for aligning data sources, contract terms, and audit strategies between health plans and hospitals to ensure ongoing compliance with price transparency regulations and avoid penalties

Dave Cardelle

Symone Rosales
AMS Intelligent Analytics
Website: http://www.amspredict.com/
Advanced Medical Strategies (AMS) is the premier provider of payment integrity, risk management, and business intelligence solutions to identify and address excessive claims, prevent and recoup overpayments, and effectively manage the risks associated with high-cost claimants and group health underwriting.