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

Unlocking New Opportunities: Executive Outlook on Payment Integrity for 2025
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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

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

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

Insourcing vs. Outsourcing Payment Integrity: Striking the Right Balance for Your Health Plan
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

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

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