Stop overpaying on hospital claims. Our Itemized Bill Review (IBR) process uncovers billing errors on 98% of claims reviewed, delivering an average of 15% savings per claim. By identifying duplicate charges, non-covered services, and other discrepancies, IBR helps healthcare payors reduce costs and stay compliant with confidence.
As a part of Claritev’s Payment Integrity service, we review claims to ensure there are no billing errors and that the charges make sense. When we find mistakes or suspicious charges, we investigate. This blog details findings that left us shaking our heads.
As COVID-19, RSV and other infectious diseases have spread over the recent years, waste and abuse in healthcare claims billing relating to these conditions has increased. What is your payment integrity vendor doing to address this growing trend?
In the property and casualty world, out-of-network medical bills represent a large portion of all new bills — over 50% in some states. So, property and casualty payors must take care in choosing an out-of-network solution. In this post, we list our top five considerations when choosing an out-of-network solution for your workers’ compensation or auto medical bills.
As a part of Claritev’s Payment Integrity service, we review claims to ensure there are no billing errors and that the charges make sense. When we find mistakes or suspicious charges, we investigate. This blog details our eye-popping findings.
Several companies offer solutions to help eliminate or reduce incorrectly paid claims and save healthcare payors significant dollars. So how do health plans choose which one to work with? The truth is many of the solutions are similar, and they’ll probably all save payors money. Answers to these questions help separate the players.
An estimated $1.2 trillion in healthcare spending is attributed to some form of waste or abuse that leads to overcharges. Payment integrity solutions are tools healthcare payors use to help bring down this staggering number. Claritev discusses what these solutions do.
While healthcare spending continues to soar, impacting all players in the healthcare ecosystem, Claritev understands it will take a combination of forces chipping away at the margins to make healthcare more affordable. Here are five trends we’re watching in 2022 with the potential to lower costs, improve outcomes, and make our health system more sustainable over time.
Are member eligibility errors impacting your payment integrity approach? This infographic identifies the top three causes of eligibility errors and illustrates what they might be costing your plan.