Payment Integrity Solutions Toolkit

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Save time, empower your teams and effectively upgrade your processes with access to this practical Payment Integrity Solutions Toolkit and guide. Address common challenges with best-practice templates, step-by-step work plans and maturity diagnostics for any Payment Integrity Solutions related project.

Download the Toolkit and in Three Steps you will be guided from idea to implementation results.

The Toolkit contains the following practical and powerful enablers with new and updated Payment Integrity Solutions specific requirements:


STEP 1: Get your bearings

Start with...

  • The latest quick edition of the Payment Integrity Solutions Self Assessment book in PDF containing 49 requirements to perform a quickscan, get an overview and share with stakeholders.

Organized in a data driven improvement cycle RDMAICS (Recognize, Define, Measure, Analyze, Improve, Control and Sustain), check the…

  • Example pre-filled Self-Assessment Excel Dashboard to get familiar with results generation

Then find your goals...


STEP 2: Set concrete goals, tasks, dates and numbers you can track

Featuring 999 new and updated case-based questions, organized into seven core areas of process design, this Self-Assessment will help you identify areas in which Payment Integrity Solutions improvements can be made.

Examples; 10 of the 999 standard requirements:

  1. What steps can providers, payers, and consumers take to maintain the momentum created by forced adoption and address the issues that have previously inhibited the growth of digital health?

  2. What better way to design an initiative than facilitating a process where consumers can meaningfully engage with health professionals to shape a service to best meet the needs?

  3. How can funding most effectively be distributed across health care providers and the community based partners to address patients social needs?

  4. Are there any pay or non pay incentive schemes to work in difficult/underserved locations or with particular patient groups or health needs?

  5. How has your productivity, or that of your clients, been impacted because of services that you deliver through third party healthcare APIs?

  6. Have you ever had professional liability insurance declined, canceled or non renewed for any reason other than for non payment of premium?

  7. What are other best practices for reducing burden on health care providers related to addressing the non medical needs of the patients?

  8. Are patient experiences, clinical adherence, and investment in equipment, respectively, determined by the hospitals financial health?

  9. Are hospital outcomes determined jointly by the hospitals patient experiences, clinical adherence, and investment in equipment?

  10. What are some successful models of data sharing that work for health care providers in different environments and settings?


Complete the self assessment, on your own or with a team in a workshop setting. Use the workbook together with the self assessment requirements spreadsheet:

  • The workbook is the latest in-depth complete edition of the Payment Integrity Solutions book in PDF containing 999 requirements, which criteria correspond to the criteria in...

Your Payment Integrity Solutions self-assessment dashboard which gives you your dynamically prioritized projects-ready tool and shows your organization exactly what to do next:

  • The Self-Assessment Excel Dashboard; with the Payment Integrity Solutions Self-Assessment and Scorecard you will develop a clear picture of which Payment Integrity Solutions areas need attention, which requirements you should focus on and who will be responsible for them:

    • Shows your organization instant insight in areas for improvement: Auto generates reports, radar chart for maturity assessment, insights per process and participant and bespoke, ready to use, RACI Matrix
    • Gives you a professional Dashboard to guide and perform a thorough Payment Integrity Solutions Self-Assessment
    • Is secure: Ensures offline data protection of your Self-Assessment results
    • Dynamically prioritized projects-ready RACI Matrix shows your organization exactly what to do next:

 

STEP 3: Implement, Track, follow up and revise strategy

The outcomes of STEP 2, the self assessment, are the inputs for STEP 3; Start and manage Payment Integrity Solutions projects with the 62 implementation resources:

  • 62 step-by-step Payment Integrity Solutions Project Management Form Templates covering over 1500 Payment Integrity Solutions project requirements and success criteria:

Examples; 10 of the check box criteria:

  1. Planning Process Group: If a task is partitionable, is this a sufficient condition to reduce the Payment Integrity Solutions project duration?

  2. Procurement Audit: Was the submission of variant tenders accepted and duly ruled?

  3. Variance Analysis: Do you identify potential or actual budget-based and time-based schedule variances?

  4. Project Management Plan: How can you best help your organization to develop consistent practices in Payment Integrity Solutions project management planning stages?

  5. Change Log: Do the described changes impact on the integrity or security of the system?

  6. Executing Process Group: What is the critical path for this Payment Integrity Solutions project and how long is it?

  7. Responsibility Assignment Matrix: What cost control tool do many experts say is crucial to Payment Integrity Solutions project management?

  8. Human Resource Management Plan: What were things that you did well, and could improve, and how?

  9. Activity Duration Estimates: After changes are approved are Payment Integrity Solutions project documents updated and distributed?

  10. Procurement Audit: What is the process cost of the procurement function?

 
Step-by-step and complete Payment Integrity Solutions Project Management Forms and Templates including check box criteria and templates.

1.0 Initiating Process Group:

  • 1.1 Payment Integrity Solutions project Charter
  • 1.2 Stakeholder Register
  • 1.3 Stakeholder Analysis Matrix


2.0 Planning Process Group:

  • 2.1 Payment Integrity Solutions project Management Plan
  • 2.2 Scope Management Plan
  • 2.3 Requirements Management Plan
  • 2.4 Requirements Documentation
  • 2.5 Requirements Traceability Matrix
  • 2.6 Payment Integrity Solutions project Scope Statement
  • 2.7 Assumption and Constraint Log
  • 2.8 Work Breakdown Structure
  • 2.9 WBS Dictionary
  • 2.10 Schedule Management Plan
  • 2.11 Activity List
  • 2.12 Activity Attributes
  • 2.13 Milestone List
  • 2.14 Network Diagram
  • 2.15 Activity Resource Requirements
  • 2.16 Resource Breakdown Structure
  • 2.17 Activity Duration Estimates
  • 2.18 Duration Estimating Worksheet
  • 2.19 Payment Integrity Solutions project Schedule
  • 2.20 Cost Management Plan
  • 2.21 Activity Cost Estimates
  • 2.22 Cost Estimating Worksheet
  • 2.23 Cost Baseline
  • 2.24 Quality Management Plan
  • 2.25 Quality Metrics
  • 2.26 Process Improvement Plan
  • 2.27 Responsibility Assignment Matrix
  • 2.28 Roles and Responsibilities
  • 2.29 Human Resource Management Plan
  • 2.30 Communications Management Plan
  • 2.31 Risk Management Plan
  • 2.32 Risk Register
  • 2.33 Probability and Impact Assessment
  • 2.34 Probability and Impact Matrix
  • 2.35 Risk Data Sheet
  • 2.36 Procurement Management Plan
  • 2.37 Source Selection Criteria
  • 2.38 Stakeholder Management Plan
  • 2.39 Change Management Plan


3.0 Executing Process Group:

  • 3.1 Team Member Status Report
  • 3.2 Change Request
  • 3.3 Change Log
  • 3.4 Decision Log
  • 3.5 Quality Audit
  • 3.6 Team Directory
  • 3.7 Team Operating Agreement
  • 3.8 Team Performance Assessment
  • 3.9 Team Member Performance Assessment
  • 3.10 Issue Log


4.0 Monitoring and Controlling Process Group:

  • 4.1 Payment Integrity Solutions project Performance Report
  • 4.2 Variance Analysis
  • 4.3 Earned Value Status
  • 4.4 Risk Audit
  • 4.5 Contractor Status Report
  • 4.6 Formal Acceptance


5.0 Closing Process Group:

  • 5.1 Procurement Audit
  • 5.2 Contract Close-Out
  • 5.3 Payment Integrity Solutions project or Phase Close-Out
  • 5.4 Lessons Learned

 

Results

With this Three Step process you will have all the tools you need for any Payment Integrity Solutions project with this in-depth Payment Integrity Solutions Toolkit.

In using the Toolkit you will be better able to:

  • Diagnose Payment Integrity Solutions projects, initiatives, organizations, businesses and processes using accepted diagnostic standards and practices
  • Implement evidence-based best practice strategies aligned with overall goals
  • Integrate recent advances in Payment Integrity Solutions and put process design strategies into practice according to best practice guidelines

Defining, designing, creating, and implementing a process to solve a business challenge or meet a business objective is the most valuable role; In EVERY company, organization and department.

Unless you are talking a one-time, single-use project within a business, there should be a process. Whether that process is managed and implemented by humans, AI, or a combination of the two, it needs to be designed by someone with a complex enough perspective to ask the right questions. Someone capable of asking the right questions and step back and say, 'What are we really trying to accomplish here? And is there a different way to look at it?'

This Toolkit empowers people to do just that - whether their title is entrepreneur, manager, consultant, (Vice-)President, CxO etc... - they are the people who rule the future. They are the person who asks the right questions to make Payment Integrity Solutions investments work better.

This Payment Integrity Solutions All-Inclusive Toolkit enables You to be that person.

 

Includes lifetime updates

Every self assessment comes with Lifetime Updates and Lifetime Free Updated Books. Lifetime Updates is an industry-first feature which allows you to receive verified self assessment updates, ensuring you always have the most accurate information at your fingertips.