Name: Ggl Partners, LLC
Address: 101 Merritt 7 Ste 300, Norwalk, CT, 06851-1059, USA
Telephone: (203) 604-0550

management

Improving your claims experience
T3 Worldwide is a company focused on improving the claims experience for stakeholders in our healthcare system.

T3's innovative AuditPoint(TM) solution helps healthcare payors enhance the effectiveness and scalability of their claim audit operations by combining the expertise of seasoned auditors with a sophisticated technology platform and process excellence.

T3 also provides healthcare payors and healthcare solution providers with advice and assistance in product development and healthcare analytics.

The Challenge
Despite significant investments in information technology, systems struggle to keep up with the complexities of provider contracts, creative plan designs, and the broad array of clinical interventions increasingly available to patients.

Attempts to deal with this through manual audits are constrained by tight prompt payment windows, and typically are not scalable and the implementation of further information technology interventions is cost-prohibitive. Managing the audits manually also makes it very difficult to monitor and report on audit performance or draw actionable insights from any patterns in the errors being uncovered.
The Solution
AuditPoint is a full service auditing solution designed to improve the accuracy, productivity and agility of claim auditors. It includes a technology platform designed to identify claim submission and processing errors, present them for review by auditors in an online workflow environment and monitor and manage audit inventory. It also includes the services necessary to host, operate, maintain and enhance the platform as needed, limit false positive findings, and facilitate ongoing improvements in the auditing and adjudication processes.
Services
Hosting: Designed to complement existing solutions, the AuditPoint is available as a service hosted, operated and managed by T3, minimizing the IT resources required to deploy the solution.

Business Intelligence: Improving the claims processing experience requires insights that are possible only through an in-depth knowledge of the domain and the interactions that take place across claim submission, processing and payment processes.

By using the AuditPoint platform, skilled experts at T3 are able to collaborate with clients to mine the claims, eligibility, and process data systematically, create profiles of patterns that warrant a closer look, identify many errors in the proper application of policies and procedures, uncover root causes driving the errors, and assist clients in remediation, recovery, repair, and prevention activities to address them.

Ggl Partners, LLC

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