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CERIS Payment Integrity Solutions

WebIn-depth analysis easily catches inconsistencies to contain costs and avoid overpayment. Better outcomes. With a system you can count on, you can spend less time on bills and …

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Payment Integrity Barometers of Success CERIS

WebPayment Integrity Barometers of Success. Greg Dorn, President & Mark Johnson, SVP Product Management. April 18, 2023.

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WHITE PAPER Medical Record Retrieval and Procurement

Web4 American Health Information Management Association® 2022 | Medical Record Retrieval and Procurement: Challenges and Solutions Payors and providers must find common …

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How Pre-Payment and Other Reviews Can Dramatically Reduce

WebA recent study in the publication JAMA Network contained data demonstrating the perils health plans and self-funded employer groups encounter when trying to keep costs …

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The Pulse of Payment Integrity

Web5. Education. CPI. 4. We have found these 5 key factors promote a successful payment integrity program: Strong leadership and governance: This is the foundation to establish …

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How to Improve Payment Integrity with Artificial Intelligence …

WebAbout AHIMA® AHIMA is a global nonprofit association of health information (HI) professionals with more than 67,000 members and more than 100,000 credentials in the …

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Our Solutions CERIS

WebWith financial losses due to healthcare fraud in the tens of billions of dollars annually, we offer a suite of fraud detection solutions. These include special investigation unit analysis …

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Payment Modifications and DRG Impacts CERIS

WebPayment Modifications and DRG Impacts. Greg Dorn, President & Mark Johnson, SVP Product Management. July 19, 2023.

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Readmission Review Saves Customer Millions CERIS

WebCollaboration Leads to Improvement of Internal Claims Auditing. Many healthcare payers have readmission policies in place to help identify reimbursements that should be …

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Solving the Rubik’s Cube of DRG and Clinical Validation CERIS

WebAs we look to the coming year in healthcare, it will definitely be interesting. Payers, providers, and employers we have spoken to have a lot on their mind – lowering the total …

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Contact Us CERIS

WebLast Name*. Company*. Phone*. Email*. City*. State*. State. Message*. Please note that by providing your information it is being transferred to, stored or processed in the United …

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Medical Record Retrieval and Procurement Whitepaper CERIS

WebKnowledge CenterWhite Papers. Medical Record Retrieval and Procurement Whitepaper. August 15, 2022. Summary. Medical record retrieval is a vital component of risk adjusted …

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Knowledge Center CERIS

WebKnowledge Center. Industry leading insights backed by 30 years of experience. Case Studies. CERIS Identifies Over $95,000 in Excess Charges. The Influence of CERIS …

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The Challenges and Benefits of Prepay Whitepaper CERIS

WebThe Challenges and Benefits of Prepay Whitepaper. July 13, 2022. In the healthcare claims industry, payment integrity — verifying and paying claims in an accurate and timely …

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Prepay Itemized Bill Review CERIS

WebGoing forward, CERIS’ challenge will be to continue to be a supportive partner through the ever-changing healthcare landscape. Our partner is looking to expand their program with …

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Prepayment review: A proactive way to control health benefit

WebRecent layoffs at tech firms such as Meta (formerly Facebook) and Peloton could portend more cutbacks to come.

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Why Prepayment Reviews Make Sense CERIS

WebWith the U.S. possibly facing a recession in 2023, expense control has become a priority for many businesses. Recent layoffs at tech firms such as Meta (formerly Facebook) and …

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Payment Modifications and DRG Impacts

WebSummary This article focuses on the impacts of payment modiﬁcations on DRG Validation by highlighting three key components: CMS FY 2024 Inpatient Prospective Payment …

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