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Navigating Payer Compliance and Regulatory Oversight with Cereasa Horner of CERIS

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Manage episode 503038383 series 3643684
Content provided by Becker's Healthcare. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Becker's Healthcare or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

This episode features Cereasa Horner, Director of Policy and Payment Integrity at CERIS, who shares insights on the evolving payer oversight landscape. She discusses the challenges of maintaining consistency across state and federal guidelines, the role of AI and predictive compliance modeling, and strategies for payers to stay proactive in a dynamic regulatory environment.

This episode is sponsored by CERIS.

  continue reading

300 episodes

Artwork
iconShare
 
Manage episode 503038383 series 3643684
Content provided by Becker's Healthcare. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Becker's Healthcare or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

This episode features Cereasa Horner, Director of Policy and Payment Integrity at CERIS, who shares insights on the evolving payer oversight landscape. She discusses the challenges of maintaining consistency across state and federal guidelines, the role of AI and predictive compliance modeling, and strategies for payers to stay proactive in a dynamic regulatory environment.

This episode is sponsored by CERIS.

  continue reading

300 episodes

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