CERIS Fraud, Waste, And Abuse Solutions Find Over $700 Million Of Suspicious Activity
Our post pay fraud scanners help our clients combat the tens of billions of dollars lost to healthcare fraud each year. Check out our behavioral analytics results over the last 12 months in our recent case study.
![](/static/e0ff9ca3480f307ecd88a3101f88fe5c/8e90b/FWA-Image.png)
Case Studies
CERIS Fraud, Waste, And Abuse Solutions Find Over $700 Million Of Suspicious Activity
![](/static/e0ff9ca3480f307ecd88a3101f88fe5c/4b7cc/FWA-Image.png)
Data Mining Detects & Prevents Improper Payments
![](/static/1efe3cc3f1f6e929605d70b27900f6f8/26682/Data-Mining-Image.png)
CERIS Identifies Over $95,000 in Excess Charges
![](/static/fa0d14e0a07fbec202092dd45634933b/8c345/Comercial-DRG-Image.png)
The Influence of CERIS Certified Review Nurses
![](/static/5d0eb56f2b95dfc45511bff0a8971d9a/8c345/Review-Nurses-Image.png)
Review of Heart Transplant Claim Saves Client Thousands
![A stethoscope used for a heart transplant](/static/5e0e80512330c7ca0f9572a4082f42f1/8c345/Transplant-Case-Study-Image.png)
Neonatal Intensive Care Unit Claim Validation Saves Payer Millions
![A neonatal ICU (NICU) room](/static/a9ee6ab6284cb06bd203d2c4f3ba706c/8c345/NICU-Image.png)
Readmission Review Saves Customer Millions
![An interior staircase surrounded by plants](/static/7dfa4789ee0f6932e2fe5c91be1612d1/8c345/Readmission-Review-Review-Featured-Image-1.png)
CERIS Becomes Primary DRG Validation Vendor
![An overview shot of a DRG validator working at a desk with papers and a laptop](/static/2afd0537576cb11fbcdc4c50143c5d14/8c345/DRG-Feature-Image-1.png)
Emergency Room Evaluation and Management
![An exterior view of an emergency room entrance](/static/547c9e1edb9cc83f0ac9342dcafee635/8c345/ER-RM-Feature-Image-1.png)
Specialty Nurse and Implant Review
![Medical tools used for an implant procedure laid out on a tablecloth](/static/a3ba935939b757f0f110a12d82e0b248/8c345/Specialty-nurse-and-Implant-Feature-Image-1.png)
Seamless and Timely Implementation
![A person counting a stack of dollar bills at their desk](/static/c693580cbf13065d029b78ca6bb361ae/8c345/Implementation-Feature-Image-1.png)
Prepay Itemized Bill Review
![A businessman and businesswoman smiling and standing together holding bill review report sheets](/static/1a02386b3bd7507cc49f8c196b5047cb/8c345/Prepay-Feature-Image-1.png)
Capital Equipment
![A close up shot of a piece of medical capital equipment - a vitals monitor](/static/9f83897f4ddfe37d4e1f3499718460e1/8c345/Capital-Equipment-Feature-Image-1.png)
Implant Review
![a collage of x-rays of medical implants](/static/bd425ccb2f3456dc854ed981980b1b14/8c345/Implant-Feature-Image-1.png)
Medical Supplies
![An organized drawer of medical supplies](/static/ee4545c5b92e0d4d7da022a0d5c24e53/8c345/Medical-Supplies-Feature-Image-1.png)