Program Integrity and Peer Review
UTILIZATION REVIEW
Livanta’s team of clinicians and healthcare experts have XXX years of success in providing quality review of care provided across the various levels and stages of healthcare.
Value Proposition: When evidence-based standards of care support the level of healthcare provision, the outcomes are idealized as the cost of care is reduced.
PAYMENT ACCURACY REVIEW
The wide experience of the Livanta Healthcare Teams of experts spans healthcare claim analytics, coding validation and complex medical record review, quality of care review, error rate evaluation, and validation of improper payment determinations.
Value Proposition: Persons receiving healthcare are best served with covered care is properly provided, documented, and claimed.
PERFORMANCE, COMPLIANCE, AND FINANCIAL AUDIT
Livanta provides a healthcare milieu of expertise across clinical, statistical, accounting, and administrative disciplines. These experts interact with robust ability and efficiency to ensure healthcare metrics conform to expected standards.
Value Proposition: Agile support and confirmation of evidence-based healthcare that is documented, coded, and claims properly undergirds healthcare outcomes.
STANDARD OF CARE AND PEER REVIEW
Successful quality improvement and stakeholder interactions are pillars of Livanta’s long relationship with ensuring optimal healthcare provision.
Value Proposition: Working with providers, beneficiaries and other healthcare stakeholders serves to provide for continual improvement in healthcare outcomes including best health, avoided complications, and reduced cost.
ERROR RATE MEASUREMENT AND VALIDATION
Working with various health plans and stakeholders, Livanta has practical experience with error rate workloads, including validating measured errors.
Value Proposition: Coordinated efforts and goals for the proper payment of healthcare claims is undergirded by the accurate recognition of payment errors.