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Don’t Risk It: QPA Calculation

Calculating accurate QPAs is difficult and mistakes can be costly and create compliance risks. Here’s what to do.

Exponent Health Achieves HITRUST CSF® Certification to Manage Risk, Improve Security Posture, and Meet Compliance Requirements

HITRUST CSF Certification validates Exponent Health is committed to meeting key regulations and protecting sensitive information. GAITHERSBURG, MD — Exponent Health, a leading provider of medical and pharmacy cost containment and transparency solutions for health plan sponsors and pharmacy benefits managers across the healthcare spectrum, today announced its technology platforms ClaimSave and Claims Automation have Exponent Health Achieves HITRUST CSF® Certification to Manage Risk, Improve Security Posture, and Meet Compliance Requirements

Exponent Health continues to expand offering with acquisition of National Bill Audit Services

GAITHERSBURG, MD — Exponent Health is excited to announce the acquisition of National Bill Audit Services (NBAS) as part of its commitment to continually evolve its offering to meet clients’ cost containment challenges. The companies share a reputation for high-touch, high-value service models, and the addition of NBAS expands Exponent Health’s product portfolio by adding Exponent Health continues to expand offering with acquisition of National Bill Audit Services

Introducing Exponent Health – Powering the Future of Healthcare Cost Management with Technology Driven Solutions

Medical claims and pharmacy cost management specialist Exponent Health announced its official launch with a major rebranding of the company’s name from HRGi and a refocus on the company’s future direction. After welcoming Karin Humphrey as the new CEO at the beginning of 2021, Exponent Health has been quietly working toward crystalizing its guiding vision – embracing the latest opportunities that technology can offer within a rapidly evolving industry to meet greater challenges in healthcare cost management.

Fee Negotiation: Controlling Out-of-Network Claims Costs Following the No Surprises Act

On December 27, 2020, H.R.133 — the FY2021 Omnibus Appropriations Bill — was signed into law. Embedded within the nearly 2,200-page bill was the No Surprises Act, a significant piece of bipartisan legislation designed to protect consumers against the bitter pills that come with surprise medical billing.