Discovery Health Partners enhances capabilities with acquisition of Consovas payment integrity business
Summary
Discovery assumes ownership of Consova’s payment integrity assets, including: • A team of seasoned medical claims analysts with a proven track record of accuracy in overpayment findings and recoveries • A robust set of unique, proprietary algorithms and process automation that combs through data in medical claims to select those that are most likely billed, coded, or submitted in error With this latest acquisition, Discovery advances its position as a leading payment integrity solution provider. “We are thrilled to now be able to offer our vastly expanded expertise to clients, enabling them to recover significantly more claims overpayments.” “Our payment integrity solutions have found a great new home with Discovery,” added Vino Ramayah, Consova’s CEO and Chairman. Implementation of effective measures to eliminate waste represents an opportunity reduce the continued increases in US health care expenditures.1 Healthcare claims processing is as profoundly complex as ever and is only made more difficult by numerous EMR vendors and compliance issues. Through proven data mining practices, Discovery tackles this industry issue by identifying and recovering overpayments caused by inaccurate contract pricing, improper billing and coding, and misapplied reimbursement methodologies. The combination of expert auditing and coding staff, advanced analytics, and a best-in-class ReThink payment integrity platform enables Discovery to rein in wasteful spending and recover lost healthcare dollars for health plans.