Alivia Analytics Expands Payment Integrity Solutions for Healthcare Payers

Alivia Analytics, a leader in AI-powered healthcare data analytics, announced an expansion of its payment integrity solutions to assist healthcare payers in reducing payment errors and improving financial accuracy. Their platform is designed to prevent billing mistakes, enhance compliance, and improve efficiency for healthcare organizations.

The solutions cover key areas like prospective claims editing, which identifies coding errors and ensures claims meet healthcare regulations before processing. By catching errors early, healthcare payers can avoid unnecessary spending and streamline payment systems. This pre-payment editing helps prevent issues before claims are finalized, reducing financial waste.

Alivia’s platform also supports clinical reviews and audits, both pre- and post-payment, ensuring proper payments through medical necessity reviews and coding accuracy checks. Using advanced analytics, the system uncovers irregularities that traditional methods may miss, enhancing payment accuracy and compliance.

Delivered as Tech-Enabled Services and Software as a Service (SaaS), Alivia’s tools provide actionable insights, allowing for automated corrections. These solutions help healthcare payers recover missed opportunities, improve financial outcomes, and reduce manual processes, ultimately offering a more efficient and reliable payment integrity system.