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

Payers Insights Report | 2024 HLTH Conference
Unlocking New Opportunities: Executive Outlook on Payment Integrity for 2025
2025 loading computer
Data Mining Algorithms Advancing in Payment Integrity
Payer Insights: Payers + AI and Emerging Technologies = Better Member Experiences | HLTH 2024

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

Precision Alignment of Prepay Strategies in Payment Integrity
Health insurance concept, Human holding virtual insurance and healthcare medical icon, doctor, health and access to welfare health, hospital, medical health and life insurance business
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

Transparency

The Path to Payment Accuracy: Tackling Billing Errors with Payment Integrity
Podcast discussing how technology and strategic initiatives reduce billing errors and financial waste in healthcare.
The True Cost of Fraud, Waste, and Abuse: Reinforcing Payment Integrity
Payer-Provider Alignment
CERIS Identifies Over $95,000 in Excess Charges

Payment Integrity

Payment Integrity: Strengthening Payer Enterprise Strategy
The Path to Payment Accuracy: Tackling Billing Errors with Payment Integrity
Podcast discussing how technology and strategic initiatives reduce billing errors and financial waste in healthcare.
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

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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