Cost
Cost Reduction
Rising’s Bill Review solutions deliver substantial savings by integrating powerful data, repricing intelligence, and the professional expertise of auditors, nurses, and physician advisors.
- Medical Bill Review
- Specialty Bill Review & Nurse Audit
- Hospital Bill Review
- Provider Negotiations
- AND MORE…
Care
Care Optimization
Rising’s clinical Care Management solutions use evidence-based guidelines to ensure quality care and optimal outcomes, while reducing overall claim costs.
- Early Intervention Program
- Telephonic Case Management
- Utilization Review
- Peer Review
- Physician Pharmacy Review
- AND MORE…
Insights
Analytics & Technology
Rising uses sophisticated technologies to proactively target and give insight into those factors most critical to successful medical claims management.
- Advanced Analytics
- Risk Modeling
- Rx Intelligence
- Payer Web Portal
- AND MORE…
