Carewise Health uniquely integrates technology, analytics, nurse auditors and case managers to provide the only holistic payment integrity solution.
Program Overview
Changes ignited by healthcare reform have precipitated a new approach to Payment Integrity. Carewise Health uniquely integrates technology, analytics, nurse auditors and case managers to provide a holistic payment integrity solution.
Clinical Staff
Our nurses make the difference. When cases have been identified as having a high probability of being improperly paid, incorrectly coded, or being unnecessary or inappropriate, our nationwide team of experienced nurse auditors steps in.
Markets
Our primary focus is serving health plans. We use nurse auditors supported by proprietary analytics to identify, audit and recover on behalf of health plans over-payments to providers.