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CERiS Becomes Primary DRG Validation Vendor

Strong Results Pre or Post Pay

Within three months of partnering with a large national payor, CERiS went from being a second pass vendor for DRG Validation Review to becoming the first pass vendor. Like other vendors in the Payment Integrity industry, the prior first pass vendor became part of the ongoing market consolidation. Due to our stability, organic growth in the market, and proven results, CERiS became the primary vendor. With over 20 years of experience, the CERiS team has an unmatched level of defensibility.

  • 39% Average Savings Against Paid Claims
  • 64 Day Turnaround Time
  • 13% Hit Rate
  • 9% Higher Savings than Industry Average
  • 78% Procurement Rate

 

As we continue to grow our partnership, the client has expanded their services with CERiS to include implant carve-out review, dual reviews, hospital bill audit, readmission reviews, data mining, overpayment recovery, and itemized bill review, with more solutions in the pipeline. To learn more, visit our website www.ceris.com or call us at 844-868-0058.