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Beneficiary and Caregiver Services

We empower patients and caregivers, helping them navigate the healthcare system with knowledge and respect.

Engaging directly with patients and their families, Livanta offers a patient-centered approach to case review and advocacy services. Livanta's skilled clinical staff empowers patients to make informed decisions regarding their plans of care and to navigate their care transitions effectively.

  • Innovators of beneficiary and caregiver engagement, the staff of Livanta’s specialty call center are trained to assess patients’ needs and goals to advocate for their health successes.
  • Livanta’s experienced clinical staff includes physicians, nurses, social workers, and other healthcare professionals.
  • Offering cultural and linguistic competence as the largest Medicare Quality Improvement Organization (QIO), Livanta’s professionals provide navigation and review services to help persons and their caregivers overcome health and wellness barriers across the full care continuum.
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Provider Services

We assist healthcare providers, helping them improve health outcomes, address patients’ needs, and strengthen their businesses.

Through contracts with government agencies, Livanta provides quality oversight and auditing of healthcare organizations and provides education to the provider community to improve the quality of healthcare delivery.

  • Livanta’s valued and distinctive team of professionals is highly respected by the healthcare industry for its expertise in revenue integrity in appeals and denials management, coding, and employee training programs.
  • Livanta’s staff are proficient in monitoring inpatient and outpatient costs by performing administrative data validation and coding accuracy services.
  • Livanta’s clinical teams possess an extensive understanding of payment and quality methodologies and stay up to date with industry trends.
  • Livanta regularly presents at local and national industry, government, and trade events.
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Payer Services

We help healthcare payers manage costs and ensure payment accuracy.

  • Livanta supports quality cost-effective healthcare by performing reviews of claims cost accuracy, payer appeals, coordinating care during patient transitions of care, and reducing hospital readmissions through advocacy services.
  • Working quickly and with the highest level of quality, Livanta aligns existing efforts to advance health, improve care, and reduce costs.
  • Serving in varying payment error evaluation and management roles, Livanta promotes accuracy of error rate determination and correction, such as our contracted accomplishments for the Centers for Medicare & Medicaid Services (CMS) with error rate measurement and reduction.
  • As a Beneficiary and Family Centered Care - Quality Improvement Organization (BFCC-QIO) contractor for CMS, Livanta innovated the Person and Family Engagement (PFE) program, which reduced hospital 30-day readmissions by 80.7% under Livanta’s workload. The largest QIO for Medicare, Livanta continues to impact health care outcomes.
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Public Policy Services

We provide governmental agencies with public policy insights through actuarial and econometric analysis.

Livanta provides expert data management, statistical analysis, and econometric modeling for policy evaluation. With deep industry expertise, Livanta helps governmental agencies monitor current trends in healthcare improvement and recognize impacts of policy decisions.

  • Providing key insights on program changes, Livanta’s analytics team has extensive backgrounds in econometrics, statistics, and use of claims and medical records data.
  • With expertise in advanced statistical techniques, Livanta’s analytics team identifies the effectiveness, efficiency, and equity of national and state health care systems to assist government agencies in achieving their goals.