Knowledge Center

Industry leading insights backed by 30 years of experience.

Case Studies

CERIS Fraud, Waste, And Abuse Solutions Find Over $700 Million Of Suspicious Activity

Data Mining Detects & Prevents Improper Payments

CERIS Identifies Over $95,000 in Excess Charges

The Influence of CERIS Certified Review Nurses

Thought Leadership

Data Mining Algorithms Advancing in Payment Integrity

Payer Insights: Payers + AI and Emerging Technologies = Better Member Experiences | HLTH 2024

Proactive Defense: Battling Fraud, Waste, and Abuse in Healthcare Payments | Becker’s Healthcare

Ethical Considerations in DRG Auditing

Outcomes

CERIS Fraud, Waste, And Abuse Solutions Find Over $700 Million Of Suspicious Activity

CERIS Earns 2024 Great Place To Work Certification™

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

Prepay

Prepay Claims Review: A Strategy for Reducing Healthcare Costs | Becker’s Healthcare

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

Can Prepay Reviews Save Millions? | Leader’s Edge

Why Prepayment Reviews Make Sense | Insurance Thought Leadership

Transparency

The True Cost of Fraud, Waste, and Abuse: Reinforcing Payment Integrity

Payer-Provider Alignment

CERIS Identifies Over $95,000 in Excess Charges

How to Improve Payment Integrity with Artificial Intelligence and Machine Learning

Payment Integrity

HLTH Podcast: Revolutionizing Claims Accuracy and Efficiency with CERIS’s AI Solutions with Steve Sutherland

Turning Data into Dollars: Leveraging PI Analytics for Strategic Decision Making

Payment Integrity Brief: What’s New and Why it Matters

AI Revolutionizes Healthcare Payment Integrity | Becker’s Healthcare

Solutions

CERIS Announces Enhanced Offering to Fraud, Waste, and Abuse Solutions

Data Mining Detects & Prevents Improper Payments

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

CERIS Expands Services and Rebrands

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