Tuesday, October 8, 2024

Alivia Analytics Enhances Payment Integrity for Healthcare Payers

Related stories

Credo AI Launches Integrations Hub

Credo AI, the global pioneer of the AI governance...

Drone Nerds Adds Deepthink S8 Low-Light Camera to Its Enterprise Lineup

Drone Nerds, one of North America’s largest retailers, distributors,...

TurboDocx Writer Now Available on Microsoft AppSource

TurboDocx, a leading provider of AI-powered document generation solutions,...

Baker Tilly Acquires Alirrium, Expanding RPA and AI Capabilities

Leading advisory, tax and assurance firm Baker Tilly is...

OVHcloud and F5 Deliver Advanced Multicloud Application Security

OVHcloud® US, a global cloud player and leading European cloud...
spot_imgspot_img

Alivia Analytics, a leading AI-powered healthcare data analytics and technology company, announced the expansion of its payment integrity solutions designed to help healthcare payers reduce payment errors and improve financial accuracy – backed by a powerful, configurable platform.

The offerings focus on key areas critical to ensuring payment integrity across the healthcare spectrum, which include:

  • Prospective Claims Editing: Alivia’s advanced first-pass pre-payment editing identifies coding errors and ensures compliance with healthcare regulations before claims are processed. By preventing billing mistakes, healthcare payers can reduce unnecessary expenditures and improve overall efficiency.

  • Clinical Reviews & Audits: Utilizing a configurable analytics platform, Alivia offers both pre- and post-payment clinical reviews to identify and correct improper payments. A team of certified auditors review claims for medical necessity, coding accuracy, and compliance, ensuring the highest standards are met.

  • Data Mining & Advanced Analytics: Alivia’s AI-driven platform provides healthcare payers with the tools to uncover payment irregularities and prevent overpayments. The platform’s advanced analytics surpass traditional business rule engines, helping organizations achieve higher recoveries while reducing manual intervention.

Also Read: Tal Rosenberg Named CEO of Apollo Intelligence

The solutions are delivered as Tech-Enabled Services and Software as a Service (SaaS) that identify new recoveries missed by legacy vendors, deliver actionable pre- and post-payment analytics, and offer automated pre-payment corrections and savings.

“We are committed to addressing the most pressing challenges for healthcare payers,” said Michael Taylor MD, Chief Executive Officer of Alivia Analytics. “Our payment integrity solutions and modules are administered within the same analytics platform as our fraud detection modules, which makes for an efficient and unique system in the marketplace.”

Source: PRNewswire

Subscribe

- Never miss a story with notifications


    Latest stories

    spot_img