Latest version of CGI ProperPay revolutionizes payment and revenue integrity for healthcare payers and providers with AI-driven capabilities
CGI has launched a redesigned version of CGI ProperPay, a cloud-based solution enhanced with AI capabilities to improve payment and revenue integrity in healthcare. The platform helps healthcare payers and providers ensure accurate claims processing from submission to payment. Over the past 30 years, CGI's clients have recovered more than US $3B of improperly paid medical claims using CGI ProperPay and the company's expert team. The solution supports pre-submission, prepay, and post-pay reviews through a modular approach, offering increased automation and faster identification of inaccurate medical claim coding.
CGI ha lanciato una versione rinnovata di CGI ProperPay, una soluzione basata su cloud potenziata con capacità di intelligenza artificiale per migliorare l'integrità dei pagamenti e dei ricavi nel settore sanitario. La piattaforma aiuta i pagatori e i fornitori del settore sanitario a garantire un'elaborazione accurata delle richieste di pagamento, dalla presentazione al pagamento. Negli ultimi 30 anni, i clienti di CGI hanno recuperato oltre 3 miliardi di dollari USA di richieste mediche pagate impropriamente grazie a CGI ProperPay e al team esperto dell'azienda. La soluzione supporta revisioni prima della presentazione, pre-pagamento e post-pagamento attraverso un approccio modulare, offrendo una maggiore automazione e una più rapida identificazione dei codici errati delle richieste mediche.
CGI ha lanzado una versión rediseñada de CGI ProperPay, una solución basada en la nube mejorada con capacidades de inteligencia artificial para mejorar la integridad de pagos e ingresos en el sector de la salud. La plataforma ayuda a los pagadores y proveedores de atención médica a garantizar un procesamiento preciso de las reclamaciones desde la presentación hasta el pago. En los últimos 30 años, los clientes de CGI han recuperado más de 3 mil millones de dólares EE. UU. de reclamaciones médicas pagadas incorrectamente utilizando CGI ProperPay y el equipo de expertos de la empresa. La solución apoya revisiones previas a la presentación, prepagos y postpagos a través de un enfoque modular, ofreciendo una mayor automatización y una identificación más rápida de la codificación incorrecta de las reclamaciones médicas.
CGI는 인공지능 기능을 강화하여 의료 분야의 지불 및 수익 무결성을 개선하는 클라우드 기반 솔루션 CGI ProperPay의 재설계 버전을 출시했습니다. 이 플랫폼은 의료 지불자와 제공자가 제출에서 결제까지 정확한 청구 처리를 보장하는 데 도움을 줍니다. 지난 30년 동안 CGI의 고객은 CGI ProperPay와 회사의 전문가 팀을 통해 부적절하게 지급된 의료 청구에서 미국 30억 달러 이상을 회수했습니다. 이 솔루션은 모듈식 접근을 통해 제출 전, 선지불 및 후지불 검토를 지원하여 자동화를 증가시키고 부정확한 의료 청구 코드의 신속한 식별을 제공합니다.
CGI a lancé une version repensée de CGI ProperPay, une solution basée sur le cloud améliorée avec des capacités d'intelligence artificielle pour améliorer l'intégrité des paiements et des revenus dans le secteur de la santé. La plateforme aide les payeurs et les fournisseurs de soins de santé à garantir un traitement précis des réclamations, de la soumission au paiement. Au cours des 30 dernières années, les clients de CGI ont récupéré plus de 3 milliards de dollars US de réclamations médicales payées de manière incorrecte grâce à CGI ProperPay et à l'équipe d'experts de l'entreprise. La solution prend en charge les examens avant soumission, les prépaiements et les paiements postérieurs grâce à une approche modulaire, offrant ainsi une automatisation accrue et une identification plus rapide des codes de réclamation médicale inexacts.
CGI hat eine neu gestaltete Version von CGI ProperPay eingeführt, einer cloudbasierten Lösung, die mit KI-Funktionen verbessert wurde, um die Zahlungs- und Einnahmenintegrität im Gesundheitswesen zu verbessern. Die Plattform hilft den Zahlern und Anbietern im Gesundheitswesen, die genaue Bearbeitung von Ansprüchen vom Einreichen bis zur Zahlung sicherzustellen. In den letzten 30 Jahren haben CGI-Kunden über 3 Milliarden US-Dollar an falsch gezahlten medizinischen Ansprüchen mit CGI ProperPay und dem Expertenteam des Unternehmens zurückgewonnen. Die Lösung unterstützt vor der Einreichung, Vorabzahlungen und Nachzahlungen durch einen modularen Ansatz und bietet eine erhöhte Automatisierung sowie eine schnellere Identifizierung fehlerhafter medizinischer Anspruchscodierungen.
- Clients have recovered over US $3B in improperly paid medical claims using CGI ProperPay
- Platform offers increased automation and efficiency in claims processing
- Solution provides comprehensive coverage across pre-submission, prepay, and post-pay reviews
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Insights
The upgraded CGI ProperPay represents a significant advancement in healthcare payment integrity technology. The platform's AI capabilities and cloud-based architecture address a critical industry pain point - improper medical claims payments, which cost the healthcare system billions annually. The track record of
The modular design allowing pre-submission, prepay and post-pay reviews creates multiple revenue optimization touchpoints. This comprehensive approach, combined with increased automation, should drive higher adoption rates among healthcare payers and providers seeking to reduce revenue leakage. The timing is particularly relevant as healthcare organizations face mounting pressure to optimize costs while maintaining service quality.
This product enhancement strengthens CGI's competitive position in the rapidly growing healthcare payment integrity market. The integration of AI capabilities aligns with industry trends toward automation and positions CGI to capture a larger share of this expanding market segment. With healthcare providers increasingly focused on revenue optimization and cost reduction, the demonstrated ROI of
The cloud-based delivery model enables faster deployment and updates while creating recurring revenue opportunities through subscription-based pricing models, potentially improving CGI's revenue predictability and margins in this segment.
FAIRFAX, Va., Oct. 24, 2024 /PRNewswire/ -- CGI (TSX: GIB.A) (NYSE: GIB), one of the largest independent IT and business consulting services firms in the world, today announced the launch of the redesigned CGI ProperPay, a cloud-based solution designed to elevate payment and revenue integrity through advanced Artificial Intelligence (AI) capabilities. This integrated, transformational platform empowers healthcare payers and providers to streamline billing processes to ensure accurate claims processing from submission to payment.
For over 30 years, CGI has strategically partnered with healthcare insurers and providers to ensure claims billing and payment accuracy. Leveraging CGI ProperPay and a team of industry experts, CGI's clients have recovered over US
"CGI ProperPay is the latest innovation in AI-powered payment integrity for healthcare," said Rich Bissonette Senior Vice-President, leading CGI's
CGI ProperPay is part of a holistic payment and revenue integrity solution that supports pre-submission, prepay, and post-pay reviews through a modular, plug-and-play approach. Healthcare insurers and providers that use the latest version of CGI ProperPay will benefit from increased automation and efficiencies in addition to more quickly identifying inaccurate medical claim coding and payments to preserve healthcare funds and revenue.
For more information on the CGI ProperPay, visit cgi.com.
About CGI
Founded in 1976, CGI is among the largest independent IT and business consulting services firms in the world. With 90,000 consultants and professionals across the globe, CGI delivers an end-to-end portfolio of capabilities, from strategic IT and business consulting to systems integration, managed IT and business process services and intellectual property solutions. CGI works with clients through a local relationship model complemented by a global delivery network that helps clients digitally transform their organizations and accelerate results. CGI Fiscal 2023 reported revenue is CA
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SOURCE CGI Technologies and Solutions, Inc.
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