CERiS

CERiS
CERiS

CERiS a leader in both prospective and retrospective claims review and re-pricing, combines clinical expertise and cost-containment solutions to ensure the accuracy and transparency in healthcare payments. Accuracy and validation services include itemization review, facility repricing, contract and policy applications, review of implants and devices, and primary payor cost avoidance. Its universal chargemaster contains billions of charge items from more than 97% of the nation’s hospitals, helping to ensure accuracy and objectivity of each claim review. On average, CERiS’ services achieve 62% savings on implant claims, 6% savings in network claims adjustments, and 35% savings on out-of-network claims adjustments.