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.