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THE LIVANTA CLAIMS REVIEW ADVISOR

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Launching The Livanta Claims Review Advisor In 2021, the Centers for Medicare & Medicaid Services (CMS) awarded Livanta a national contract to conduct claim reviews for Medicare. Claim review services represent an important activity of advancing Medicare’s triple aim of better health, better care, and lower costs. Medicare’s claim review program includes activities that evaluate two main types of Medicare Part A claims that have high potential for errors: hospital inpatient admissions of short duration and claims for which hospitals paid under the Inpatient Prospective Payment System (IPPS) re-submitted inpatient claims for a higher payment than what they had billed initially.