Payment Integrity
We perform the upfront payment integrity reviews necessary to prevent improper payments, saving you time, money, and rework.
Signature Performance focuses on preventing errors so there are fewer to correct. By review and editing claims prior to adjudication, we limit the number of errors and duplicate payments that must be recovered, saving time and improving satisfaction with both providers and beneficiaries.
How Can Signature Performance Help You?

Risk- Adjustment Payment Methodologies
- Assign appropriate qualifying HCC code-based specificity of documentation
- Verify each diagnosis listed under an HCC meets the MEAT (Monitor, Evaluated, Assess, Treat) criteria
- Review documentation to ensure it supports HCC codes

Credentialing
Our credentialing services include both verifying the legal qualifications of providers like licensure, and fraud, waste and abuse disqualification as well as verifying the enrollment process to make sure providers complete the steps to join network programs.

Claim Edits
- Team of both payer and provider subject matters experts creates specialized business rules edits to minimize improper payments
- Perform analysis of claims data to identify trends and issues with potential areas of overpayments
- Proactive research regulatory changes to keep claims edit content current
- On-going monthly maintenance to ensure proactive payment integrity

Insure proper payments the first time with Signature Performance.



Insure proper payments the first time with Signature Performance.
Contact Signature Performance Today
CONTACT
Signature Performance
10330 Regency Parkway Dr
Ste 305
Omaha, NE 68114
(402) 343-0300
info@signatureperformance.com
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