Prepayment reviews can save money and increase an organization’s efficiency by reducing the workload and friction of concluding retrospective payment reviews.
Mark Johnson is senior vice president of product management for CERIS, a division of CorVel Healthcare, and a leading national provider of payment integrity and prospective claims review for health care payers.
Prior to joining CERIS, he was an executive at UnitedHealth, the nation's largest insurer, where he was charged with developing the payment integrity system for the corporation. Johnson also served as director of subrogation and third-party liability for Blue Cross Blue Shield of Minnesota. Johnson's additional experience includes healthcare policy, managing offshore payment operations, oversight of claims services and a background in clinical care working with pediatric bone-marrow patients.