Over the past 12 months CERIS has been refining our FWA solutions, resulting in over $700 million of identified suspicious claims. Read our latest case study here to learn more. https://lnkd.in/g_eQysZc
CERIS
Hospitals and Health Care
Fort Worth, Texas 1,830 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
-
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
-
Primary
5128 Apache Plume Rd.
Ste: 400
Fort Worth, Texas 76109, US
Employees at CERIS
-
Jared Felner (He/Him)
-
Keith Sebastian
Director, IT & Compliance
-
Rick McLaughlin
Leadership/ PI SME/Driving Growth /Executive Sponsorship /Strategic Execution /Sales Execution SaaS, Account Management, RCM and Services /Positive…
-
Angela Brookshire, BSN, RN
Director, Database Quality
Updates
-
We are looking forward to seeing everyone in Vegas for the Healthcare Payment & Revenue Integrity Series (HPRI) West in a couple of weeks. Come by and see us! https://lnkd.in/gXQvMbv6
A clear path to payment integrity.
ceris.com
-
This morning we announced advancements to our current Fraud, Waste, and Abuse solutions, including earlier detection capabilities and improved behavioral analytics. Check out the full press release here: https://lnkd.in/gBh8MWnF
CERIS Announces Enhanced Offering to Fraud, Waste, and Abuse Solutions
ceris.com
-
We are looking forward to seeing everyone at in Phoenix at SIIA next month. Stop by our booth and say hello! https://lnkd.in/gCvyfqEP 2024&utm_term=september-24
The future of healthcare billing made clear.
ceris.com
-
“The PI industry is poised for transformation in the coming years. Contributing factors include growth in US healthcare spending, which we estimate will grow roughly 2.5 percent faster than GDP from 2022 to 2027”. Learn more about what’s new and why it matters in our latest paper. https://lnkd.in/gAqBGdJR
Payment Integrity Brief: What’s New and Why it Matters
ceris.com
-
The US payment integrity market is poised for substantial growth, driven by technological advancements and a strong government focus on reducing improper payments. Learn more about what’s new and why it matters in our newest paper. https://lnkd.in/gAqBGdJR
Payment Integrity Brief: What’s New and Why it Matters
ceris.com
-
CERIS is proud to be a Gold Sponsor Healthcare Payment & Revenue Integrity Series (HPRI) West in Vegas this September. If you are a payer and would like to attend, feel free to reach out for a complimentary pass. https://lnkd.in/gXQvMbv6
The future of healthcare billing made clear.
ceris.com
-
DRG auditing is critical for maintaining financial integrity in healthcare, it should be balanced with ethical considerations to ensure fairness, transparency, and a positive impact on patient care. We’ve shared some helpful guidelines in our latest article, check it out here. https://lnkd.in/g27iykMU
Ethical Considerations in DRG Auditing
ceris.com
-
Our SVP of IT, Steve Sutherland recently sat down for a podcast with Becker's Healthcare where he dives into the ways #AI and #MachineLearning are transforming payment integrity. The conversation explores benefits, watch outs, and best practices for leaders considering these tools. Check it out here. https://lnkd.in/gQrRpuGR
Becker’s Healthcare Podcast: AI Revolutionizes Healthcare Payment Integrity on Apple Podcasts
podcasts.apple.com
-
It was our pleasure to support such a wonderful cause this week, thank you to UnitedHealthcare Children's Foundation for hosting a great event!
More thanks to our sponsors MultiPlan, CERIS, Huntington Securities, Inc., Horizon, AARP and AARP Foundation. Your generosity and support at the 15th annual Golf Classic is truly appreciated. Together we are making a difference in the lives of children and families across the U.S. ⛳💙
-