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CERiS White Paper Highlights Advantages of Pre-Payment Claims Review
Company is Leader in Payment Integrity Solutions FORT WORTH, Texas, Aug. 16, 2022 (GLOBE NEWSWIRE) -- CERiS, a CorVel company, and a leader in both pre and
About this update from Corvel Corp.
[{"type":"text","content":"Company is Leader in Payment Integrity Solutions FORT WORTH, Texas, Aug. 16, 2022 (GLOBE NEWSWIRE) -- CERiS, a CorVel company, and a leader in both pre and post-pay health care claims review today announced a newly published white paper on payment integrity that urges health payers to consider a pre-payment claims review strategy while outlining the challenges and benefits of doing so. The white paper notes the advantages of undertaking such reviews before money changes hands. Among them: It can take months to reverse an incorrectly paid claimPayers don’t usually recover all money improperly paid as the result of a post-payment reviewReviews of disputed claims often require a time-consuming appeals processPre-payment reviews avoid “provider abrasion” by paying the claim correctly the first time In instances where CERiS has provided pre-payment claims reviews, the average savings per claim can be as high as $9,000, while the appeals rate of claims can drop from 10% to 3%. “Given 97% of all negotiated hospital claims contain at least one charge error, switching to pre-payment review can avoid numerous pain points that come with undertaking post payment claim reviews and claw backs,” said CERiS President Greg Dorn. The white paper on payment integrity may be downloaded here. About CERiSCERiS, a leader in both prospective and retrospective claims review and repricing, combines clinical expertise and cost containment solutions to ensure the accuracy and transparency in healthcare payments. Accuracy and validation services include itemization review, DRG validation, facility repricing, contract and policy applications, review of implants and devices, and primary payer cost avoidance. Its proprietary universal chargemaster contains billions of charge items from more than 97% of the nation’s hospitals, helping to ensure the accuracy and objectivity of each claim review. About CorVel CorVel Corp. applies technology including artificial intelligence, machine learning and natural language processing to enhance the managing of episodes of care and the related health care costs. We partner with employers, third-party administrators, insurance companies and government agencies in managing worker’s compensation and health, auto and liability services. Our diverse suite of solutions combines our integrated technologies with a human touch. CorVe...