A recent study shows the #paymentintegrity industry is expected to grow by a double digit CAGR of 26% from 2024 to 2033, driven by rising healthcare infrastructure, increasing fraud cases, and government initiatives. Check out the report here and feel free to contact us with any questions. https://lnkd.in/g5MEa-w2
CERIS
Hospitals and Health Care
Fort Worth, Texas 1,779 followers
Helping to heal healthcare billing through transparency & integrity | A CorVel Company
About us
CERIS, a CorVel company, serves healthcare payers in excelling with paying medical claims correctly the first time. We drive business and policy strategies through technology to detect and resolve pre and post payment issues for health claims. Our team of policy and payment integrity leaders deliver savings through the prevention of improper payments and recovery of overpayments. Our multi-faceted processes and relationships with the medical community makes CERIS a partner of choice for state agencies, commercial health payors, managed care organizations, and third party administrators across the nation. Visit our website to learn more.
- Website
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http://www.ceris.com
External link for CERIS
- Industry
- Hospitals and Health Care
- Company size
- 501-1,000 employees
- Headquarters
- Fort Worth, Texas
- Type
- Public Company
- Founded
- 1990
- Specialties
- Itemization Review, Fair & Reasonable Data, Clinical Review, Implant Cost Review, Predictive Claim Selection, Payment Integrity Consulting, Fraud, Waste, Abuse, High Cost Drug Review, Facility Chargemaster Profiing, Provider Contract Compliance, DRG Validation, Implant Review, ER E&M, Data Mining, Healthcare Billing, and Prepay
Locations
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Primary
5128 Apache Plume Rd.
Ste: 400
Fort Worth, Texas 76109, US
Employees at CERIS
Updates
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Check out our latest Becker's Healthcare podcast where Steve Sutherland, SVP of IT at CERIS, discusses how #AI and #ML are transforming payment integrity in healthcare. He explores the benefits payers can experience, challenges to widespread adoption, and best practices for leaders implementing these powerful tools. https://lnkd.in/gRe8EaZh
Becker’s Healthcare Podcast: AI Revolutionizes Healthcare Payment Integrity on Apple Podcasts
podcasts.apple.com
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CERIS reposted this
Listen Here: https://lnkd.in/gRe8EaZh Steve Sutherland, Senior Vice President at CERIS, dives into how AI and machine learning are transforming payment integrity in healthcare. He explores the benefits payers can experience, challenges to widespread adoption, and best practices for leaders implementing these powerful tools. This episode is sponsored by CERIS (https://www.ceris.com/), For more information about Becker's Healthcare, please contact Jessica Cole or Scott Becker. #podcast #healthcare #paymentintegrity #leadership
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In our recent case study, a client’s providers were billing professional services separately from the global surgical procedure that was performed, creating over payments to the providers. Learn more about how CERIS’ data mining solution helped identify and recover $800,000. https://bit.ly/4e5UIxl
Data Mining Detects & Prevents Improper Payments | CERIS
ceris.com
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Our newest article examines the ethical considerations inherent in DRG auditing within the healthcare payment system and offers methods to overcome these challenges. Check it out here to learn more. https://lnkd.in/g27iykMU
Ethical Considerations in DRG Auditing | CERIS
ceris.com
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CERIS leads the industry in leveraging AI and ML to automate tasks for greater efficiency and accuracy, to find patterns that may indicate fraud or systemic errors, to interpret medical language, and to summarize large amounts of information into actionable data. Learn more here. https://bit.ly/4aBcUMC
Innovations in Artificial Intelligence and Machine Learning That Improve Payment Integrity | CERIS
ceris.com
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We’re looking forward to seeing everyone in Vegas!
Exciting news! The Healthcare Payment & Revenue Integrity Congress is coming to Las Vegas on September 11-12, and the agenda is now live! Get ready to streamline processes, maximize savings, and cut down on wasted spending in healthcare. Don't miss out on industry-leading speakers and insightful, ROI-driven strategies. Download our exclusive brochure for a sneak peek, and be sure to share it with your colleagues. This is an event you won’t want to miss: https://hubs.ly/Q02DV0kL0 #paymentintegrity #fwa #siu #revenueintegrity #healthplans #paymentintegrityevent #HPRIWest
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As AI and ML technologies continue to advance, the future of payment integrity holds exciting possibilities. Our latest whitepaper takes a look at how we can harness its power, when we should exercise caution, and how to effectively implement. Learn more here! https://lnkd.in/gVECReb7
Advancing AI in PI: When to Harness Its Power and When to Exercise Caution
ceris.com
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Check out this recent article from Becker's Healthcare; this list includes the most pressing issues and topics from hospital and health system leaders right now. https://lnkd.in/g-q6tYay
7 healthcare trends we're watching now
beckershospitalreview.com
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Our IT and organization leaders, Steve Sutherland and Greg Dorn, put together this article, taking a deeper look at how we can harness the power of AI now and where we should be cautious about utilizing it without more extensive governance. Learn more here. https://lnkd.in/gVECReb7
Advancing AI in PI: When to Harness Its Power and When to Exercise Caution
ceris.com