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Fixing claim errors before they happen: The power of real-time data exchange

Traditional claim processing is plagued by interoperability issues, leading to manual data exchange and lack of transparency. Real-time, automated data exchange between health plans and providers can help. By sharing eligibility, claim and payment data upfront, providers can identify and correct errors before submitting claims. Read more on how real-time connections can help improve claim accuracy, prevent denials and create a more efficient healthcare payment system.

 

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From automation to transformation: AI’s role in payment integrity

With recent breakthroughs in artificial intelligence (AI), health plans are at a precipice of change. At Optum, we’re leveraging emerging technologies to drive payment accuracy—but it’s just the starting point. We believe AI has the potential to completely transform the way health plans approach payment integrity. Read more on how AI-driven technology can add meaningful value to your payment integrity program.

 

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Empowering ASC Innovation: A Partnership in Progress

See how our strategic partnerships are providing one surgeon with an opportunity to shape his future of surgical care in outpatient settings with his new construction. Together, we’re redefining what’s possible—supporting efficiency, innovation, and improving outcomes from the ground up.

 

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The future of payment integrity: Payment precision

With healthcare constantly changing and health plans facing unprecedented challenges, payment integrity is at a critical inflection point. At Optum, we’re defining the future of payment integrity as payment precision—helping health plans achieve payment accuracy at claim submission. By advancing payment integrity interventions into the provider workflow, providers will have greater transparency to help them submit more accurate claims the first time. Get started on your path to payment precision.

 

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The World’s First Pre-donned Double Gloving System: GAMMEX® PI Plus Glove-in-Glove™ System

Now available GAMMEX® PI Plus Glove-in-Glove™ System: A non-latex double gloving system where both the outer and inner gloves are pre-donned, making it fast and easy to double glove in just one don. Let Ansell help you meet double gloving best practices with ease.

To learn more about GAMMEX® PI Plus Glove-in-Glove™ System surgical gloves, visit https://bit.ly/4nBgpdp

 

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Improve Performance, Reduce Subsidies and Boost Revenue—Without Outsourcing Your Clinicians

For over 24 years, Sound Physicians has helped hospitals improve care, boost revenue, and streamline operations. Now, Sound Practice Solutions brings that same impact—without changing your clinical staffing model. Sound Practice Solutions tackles the issues keeping hospital leaders up at night: rising costs, uneven quality, and revenue leakage. Our two-phase model begins with a thorough Diagnostic to pinpoint throughput, subsidy, and documentation gaps, then moves to hands-on Practice Management that fixes them—fast. You keep your clinicians, we drive performance. We partner to solve complex operational, clinical, and financial challenges—so your team can focus on providing exceptional care.

See how the partnership works: https://soundphysicians.com/practicesolutions

 

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A Partnership, Not a Vendor: Performance Gains Without Outsourcing

Sound Practice Solutions is built for collaboration. We embed seasoned clinical leaders, analytics, and proven workflows beside your own clinicians—co-owning every goal and sharing risk for the results. Unlike staffing-only models that fill shifts and step back, we stay in the trenches, guiding daily operations while coaching and developing your clinicians.

The outcome: sharper clinical performance, healthier margins, and sustainable departmental leadership—delivered through a finite, accountable engagement that fits any setting, from rural hospitals to multi-campus academic systems. When challenges surface, we run toward them and solve them together. Ready to see partnership in action?

Discover what makes the model different: https://soundphysicians.com/practicesolutions

 

 

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Elevate Care, Streamline Ops, Maximize Revenue—Shared-Risk Solutions Built on Proven Results

With more than 24 years of operational experience and insights from 2 million patient encounters each year, Sound Practice Solutions delivers sustainable improvement without rebadging your clinicians or locking you into long contracts. Our at-risk partnership consistently boosts revenue, reins in labor costs, and elevates patient flow—and our industry-leading cost discipline keeps annual subsidy increases within just 0.5%, significantly lower than staffing firms and industry averages. If you’re ready for a high-impact, low-disruption path to better outcomes and margins, we’re ready to help.

Let’s start the conversation: https://soundphysicians.com/practicesolutions

 

 

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Leading DSOs Share Their Partnerships with ProEdge

Partnership isn’t a buzzword for us – it’s a promise. ProEdge is committed to helping your offices achieve safe water. By building custom solutions to fit your needs, managing rollouts to your offices, and providing real-time reporting and key insights, we do the heavy lifting of managing waterline compliance across your network so you can get back to doing what you do best – protecting your practices and their patients.

 

These stories of success can be your story too! Take the first step towards waterline compliance success by visiting proedgedental.com/partnership.

 

 

 

 

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