Knowledge Center

Industry leading insights backed by 30 years of experience.

Case Studies

Data Mining Detects & Prevents Improper Payments
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

Thought Leadership

Ethical Considerations in DRG Auditing
Advancing AI in PI: When to Harness Its Power and When to Exercise Caution
The Evolving Role of DRG Audits in Payment Integrity
Data Mining Tailwinds and Headwinds

Outcomes

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
Neonatal Intensive Care Unit Claim Validation Saves Payer Millions
A neonatal ICU (NICU) room

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

AI Revolutionizes Healthcare Payment Integrity | Becker’s Healthcare
Navigating Healthcare M&A and Payment Integrity Challenges with Greg Dorn, President of CERIS | Becker’s Healthcare
Full Cycle Payment Integrity Drivers
A woman on a tablet looking at payment integrity reports
Payment Integrity Payment Pressures
A person holding a credit card and entering payment info on their computer

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
Readmission Review Saves Customer Millions
An interior staircase surrounded by plants

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