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Innovations in Payment Integrity: Stopping the Spread of Waste and Abuse Related to Infectious Disease

Detecting Infectious Disease Waste & Abuse

Detecting Waste and Abuse


Having detected over $22 million in waste and abuse for our clients, Claritev takes a proactive approach to waste and abuse detection. By analyzing infectious disease billing trends, such as RSV and COVID-19, Claritev can help clients detect and prevent overpayments. 

How We Do It:

  • Analyze claims early upon receipt
  • Implement innovative approaches to claim editing
  • Develop new algorithms for error detection
  • Analyze facilities and other demographically associated claim types

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