Knowledge Center

Industry leading insights backed by 30 years of experience.

Case Studies

CERIS Identifies Over $95,000 in Excess Charges

The Influence of CERIS Certified Review Nurses

Review of Heart Transplant Claim Saves Client Thousands

A stethoscope used for a heart transplant

A stethoscope used for a heart transplant

Neonatal Intensive Care Unit Claim Validation Saves Payer Millions

A neonatal ICU (NICU) room

A neonatal ICU (NICU) room

Readmission Review Saves Customer Millions

An interior staircase surrounded by plants

An interior staircase surrounded by plants

CERIS Becomes Primary DRG Validation Vendor

An overview shot of a DRG validator working at a desk with papers and a laptop

An overview shot of a DRG validator working at a desk with papers and a laptop

Emergency Room Evaluation and Management

An exterior view of an emergency room entrance

An exterior view of an emergency room entrance

Specialty Nurse and Implant Review

Medical tools used for an implant procedure laid out on a tablecloth

Medical tools used for an implant procedure laid out on a tablecloth

Seamless and Timely Implementation

A person counting a stack of dollar bills at their desk

A person counting a stack of dollar bills at their desk

Prepay Itemized Bill Review

A businessman and businesswoman smiling and standing together holding bill review report sheets

A businessman and businesswoman smiling and standing together holding bill review report sheets

Capital Equipment

A close up shot of a piece of medical capital equipment - a vitals monitor

A close up shot of a piece of medical capital equipment - a vitals monitor

a collage of x-rays of medical implants

a collage of x-rays of medical implants

Medical Supplies

An organized drawer of medical supplies

An organized drawer of medical supplies

White Papers

Payer-Provider Alignment

How to Improve Payment Integrity with Artificial Intelligence and Machine Learning

Transparency Builders

Full Cycle Payment Integrity Drivers

A woman on a tablet looking at payment integrity reports

A woman on a tablet looking at payment integrity reports

Payment Modifications and DRG Impacts

A pen laying on a DRG document

A pen laying on a DRG document

Payment Integrity Payment Pressures

A person holding a credit card and entering payment info on their computer

A person holding a credit card and entering payment info on their computer

Payment Integrity Barometers of Success

Three different rulers representing measuring the barometers of success for payment integrity

Three different rulers representing measuring the barometers of success for payment integrity

The Pulse of Payment Integrity

An electronic pulse on a dark background

An electronic pulse on a dark background

Solving the Rubik’s Cube of DRG and Clinical Validation

A Rubik's Cube

Medical Record Retrieval and Procurement Whitepaper

a doctor typing in medical record notes on a tablet

a doctor typing in medical record notes on a tablet

The Challenges and Benefits of Prepay Whitepaper

A woman smiling and standing next to a whiteboard with payment integrity notes on it

A woman smiling and standing next to a whiteboard with payment integrity notes on it

News & Press

CERIS Announces Innovations in Artificial Intelligence and Machine Learning That Improve Payment Integrity

Prepayment review: A proactive way to control health benefit costs in recessionary times | Benefits Pro

CERIS’ “The Pulse of Payment Integrity” Outlines New Claims Processing Path For Payers

Can Prepay Reviews Save Millions? | Leader’s Edge

CERIS and Parent Company CorVel Recognized as a Great Place to Work® Certified Company

Why Prepayment Reviews Make Sense | Insurance Thought Leadership

CERIS Expands Services and Rebrands

Boosting Payment Integrity with Pre-Payment Reviews

Payment Integrity Leader CERIS Promotes Two Executives to Senior Management Roles

CERIS White Paper Highlights Advantages of Pre-Payment Claims Review

CERIS Names Greg Dorn President

Prepayment Reviews Can Fill The Gaps in the Volume-to-Value Transition

How Pre-Payment and Other Reviews Can Dramatically Reduce Healthcare Costs

CERIS Offers First Prepayment Dual Reviews for Payment Integrity Programs

CERIS Offers First Prepayment Dual Reviews For Payment Integrity Programs

CERIS Announces New COVID-19 Dashboard for Payers

National Claims Reviewer CERIS Names Mark Johnson as Vice President of Product Management

National Claims Reviewer CERIS Names Mark Johnson as Vice President of Product Management

Let's partner to a clear path to greater accuracy and cost savings.