Performant Joins Machinify

A new chapter in healthcare payment intelligence begins.

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Inpatient & Facility Audits

Performant Healthcare SolutionsSM provides correct coding evaluation along with evidence-based clinical validation via complex...

Outpatient Audits

Audit Advantage for Outpatient helps health plans identify improper payments for the spectrum of outpatient claims while protecting critical provider relationships.

Post-Acute & Home Care Audits

Durable medical equipment, home infusion therapy, and home health claims are a well-known area of healthcare fraud and improper payment.

High Risk & Specialty Audits

Labs, genetic testing, high-cost drugs and outlier claims represent a significant category of spend for health plans and are the source of costly, improper payments.
Audit Advantage Overview

Contract Compliance Reviews

Our collaborative, consultative approach mitigates leakage resulting from vague or complex contract language...

Provider Billing & Coding

Depending on the health plan’s ability to quickly transfer and receive data, Performant Healthcare SolutionsSM...

Coordination of Benefits & Eligibility

Even plans with mature programs and large COB teams struggle with changes at the group and member levels that alter (or flip)

System Limitation, Benefits & Policy Rules

Data mining is not just automation and claims edits. Performant Healthcare SolutionsSM ...
Data Mining Overview

MSP Advantage

Our eligibility experts leverage an extensive database and proprietary algorithms to identify and validate other coverage...
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TPL Advantage

While regulations support other forms of coverage as primary before Medicaid, there is no single source...
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Recovery Advantage

Performant Healthcare SolutionsSM foundation is built on delivering solutions that quickly and efficiently...
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CMS RAC

A distinction of Performant’s services is our commitment to provider outreach on behalf of our health plan clients.

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Performant provides technology-enabled audit, recovery, and analytics services in the United States with a focus in the healthcare payment integrity industry.

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Why Performant?
Solutions
CMS RAC
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Solutions

MSP Advantage®
TPL Advantage®
Recovery Advantage®
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CMS RAC

A distinction of Performant’s services is our commitment to provider outreach on behalf of our health plan clients.

Overview

Resources

News & Alerts
Secure Provider Portal
Update Provider Contact Information
Back to Main Menu

About Us