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The Assist Group Joins the Equian Family

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Equian Starts the Year Enhancing Payment Integrity through Acquisition Equian completed the acquisition of The Assist Group (TAG) effective January 2015. The transaction kicks off the year furthering Equian’s commitment to the payment integrity market and advancing the company’s pre-payment clinical claims review and resolution solutions. Based in Lakewood, Colorado, TAG is a pre-payment technology... Continue reading.

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Equian Continues to Expand Services Outside the Territorial US – Secures Contract with Puerto Rico-Medical Card Systems (MCS).

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MCS is a highly rated health insurance company offering group commercial, retiree, and Medicare Advantage programs to over 300,000 members who reside in Puerto Rico. MCS recently contracted with Equian to provide pre-payment solutions across all of its insurance products to members who travel to the US to utilize health services not available in Puerto... Continue reading.

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Pre-payment Case Study: Adult ICU

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  Adult ICU Forensic Review Inpatient Pre-review payable = $221,537.40 Post-review payable = $146,153.78 Savings = $75,384 (34%) Clinical Course M.S. – 51 year old female with Acute Myeloid Leukemia complicated by sepsis and respiratory arrest. This was a 31 day hospital stay with the patient discharge to a skilled nursing facility. Errors Identified – Egregious... Continue reading.

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Pre-payment Case Study: Adult ICU #2

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Adult ICU Forensic Review Inpatient Pre-review payable = $2,616,764 Post review payable = $2,121,764 Savings = $495,000 (19%) Clinical Course N.N. – 65 year old morbidly obese male admitted through the emergency room for myocardial infarction. During the 78 day hospital stay patient underwent coronary artery bypass which was complicated with long term ventilator dependence.... Continue reading.

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The Assist Group named Top Work Place by Denver Post

2015 Client Symposium Highlights

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Thanks to all who attended this year’s client symposium in beautiful Charleston! We had a wonderful time.   Highlight Video:   View photos from the symposium here.

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Thank You for a Wonderful 2015 Symposium

Equian Enhances Workers’ Compensation Predictive Analytics Tool

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Equian Enhances Workers’ Compensation Predictive Analytics Tool Specific Costs Drivers Forecasted through Sophisticated Models August 4, 2015, Indianapolis, IN.  Determining how much a worker’s compensation incident will cost an employer, isn’t an easy question to answer, but Equian has developed a unique set of tools designed to do just that.  Equian’s team of thought leaders... Continue reading.

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Equian ICD-10 Readiness

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Equian strives to be a leader in the payment integrity industry including meeting the requirements of all mandates, including implementation of the ICD-10 code set. We recognize this will impact nearly every part of the healthcare business, and have established a dedicated project team representing all lines of business who have diligently been researching issues,... Continue reading.

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Equian Ranked among the Nation’s Fastest-Growing Healthcare Companies by Inc. 5000 for five consecutive years!

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INDIANAPOLIS (September 9, 2015) — Inc. magazine, the only major business magazine designed for CEOs of fast-growing, private companies, has unveiled its annual exclusive list of the fastest-growing companies in America to include Equian for the fifth year running.  The list is a comprehensive look at the most important segment of the economy – America’s... Continue reading.

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Equian, LLC and Trover Solutions, Inc. to Merge

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EQUIAN, LLC AND TROVER SOLUTIONS, INC. TO MERGE Merger to create one of the leading platforms for payment integrity and cost containment solutions for healthcare; positions company for continued innovation and growth INDIANAPOLIS, In. & LOUISVILLE, Ky. – Equian and Trover today announced the consummation of the merger of their respective businesses, marking a milestone
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Equian Whitepaper: The Proper Reporting of Healthcare Services: Bridging the Gap on Payor Policy

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Payment integrity in today’s healthcare market is more important than ever as a variety of external pressures on healthcare rates, including changing reimbursement schema, changes in diagnosis and procedure codes, the emergence of various new techniques to enhance revenue and a variety of other variables mandate tighter oversight and control of healthcare payment.   Click
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Equian Announces Acquisition of Nurse Audit: Adds Further Depth to Market-Leading Payment Integrity Platform

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May 24, 2016. Indianapolis, IN. Equian announced the completed acquisition of Nurse Audit, adding further depth to the market’s leading end-to-end payment integrity services platform for the healthcare, workers compensation, and property & casualty industries. Founded in 1994 and based in Portsmouth, New Hampshire, Nurse Audit provides comprehensive audit services to major health insurance carriers.
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Equian Announces Two New Executive Hires – Growing Company Leads to Two New Executive Hires

Equian Announces New Vice President of Human Resources – Enhancing Talent Acquisition and Human Capital Development

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Indianapolis, Indiana. August 26, 2016. Equian, a leader in healthcare payment integrity, is pleased to announce a new executive hire to meet the needs of their growing organization – TJ Fjelseth has been appointed as Vice President of Human Resources. Mr. Fjelseth will assume leadership of Equian’s human resources team and all aspects of its
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Equian Announces Acquisition of T3 Worldwide Enabling Faster and Enhanced Payment Integrity Results

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September 19, 2016. Indianapolis, IN.  Equian announced the completed acquisition of T3 Worldwide, furthering the company’s capabilities to deliver technology driven, accurate, and actionable pre and post payment integrity solutions. The acquisition of T3 supports Equian’s strategy to lead the market with the most comprehensive suite of solutions focused on utilizing technology, data and expertise
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Equian Ranked among the Nation’s Fastest-Growing Healthcare Companies by Inc. 5000 for Six Consecutive Years

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INDIANAPOLIS (October 10, 2016) — Inc. magazine, the only major business magazine designed for CEOs of fast-growing, private companies, unveiled its annual list of fastest-growing companies in America to include Equian for the sixth year running.  Equian has ranked among the top private healthcare companies by Inc. 500|5000 and in the overall ranking of all
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Equian Achieves HITRUST CSF Certification to Further Mitigate Risk in Third Party Privacy, Security and Compliance

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HITRUST Certification validates Equian is committed to meeting key healthcare regulations and protecting sensitive private healthcare information. INDIANAPOLIS (February 16, 2016.) — Equian, a payment integrity leader, today announced their AuditPoint platform has earned Certified status for information security by the Health Information Trust (HITRUST) Alliance. HITRUST CSF Certified status indicates AuditPoint’s platform has met
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The post Equian Achieves HITRUST CSF Certification to Further Mitigate Risk in Third Party Privacy, Security and Compliance appeared first on Equian.

Equian Announces New Vice President of Human Resources – Enhancing Talent Acquisition and Human Capital Development

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Indianapolis, Indiana. August 26, 2016. Equian, a leader in healthcare payment integrity, is pleased to announce a new executive hire to meet the needs of their growing organization – TJ Fjelseth has been appointed as Vice President of Human Resources. Mr. Fjelseth will assume leadership of Equian’s human resources team and all aspects of its
Read more

The post Equian Announces New Vice President of Human Resources – Enhancing Talent Acquisition and Human Capital Development appeared first on Equian.

Equian ICD-10 Readiness

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Equian strives to be a leader in the payment integrity industry including meeting the requirements of all mandates, including implementation of the ICD-10 code set. We recognize this will impact nearly every part of the healthcare business, and have established a dedicated project team representing all lines of business who have diligently been researching issues,
Read more

The post Equian ICD-10 Readiness appeared first on Equian.

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