Healthcare costs in the U.S. market continue to soar, reducing access to care, placing financial hardships on patients, and putting a strain on all types of healthcare payors. Waste is a significant contributor to the prohibitive costs. Industry experts estimate that as much of 25% of healthcare spending is wasteful.
Claritev has a suite of payment and revenue integrity solutions that fight waste and abuse over a claim’s lifecycle.
Overviews of our solutions
Payment and Revenue Integrity Services Overview
Comprehensive PIRI Solutions
Pre-Payment Integrity Solutions
Advanced Code Editing
Itemized Bill Review
Post-Payment Integrity Solutions
Revenue Integrity Solutions
Medicare Secondary Payer
Breakdown in the ESRD Process Can Cost
Nothing contained herein constitutes, or is intended to constitute, legal advice from Claritev. Claritev does not determine benefits availability and does not exercise any discretion or control as to benefit plans’ regulatory compliance or benefit plan assets, with respect to policy, payment, interpretation, practices or procedures. Plan sponsors retain full and final authority to exercise discretion for their benefit plan designs, changes to benefit plans and their operations.