Trover Solutions, which provides insurance subrogation, claims recovery and cost containment solutions has announced the launch of a Payments Integrity Solutions division focuses specifically on health payers’ ability to ensure payments are made and logged accurately and that they reach the hands of the correct providers.
“Recently, we have watched a wide range of solutions emerge in the arena of payment integrity. At Trover, we have provided many of these same services to our clients for over 15 years. Our deep experience working with health insurers, combined with the best professionals in the industry, made enhancing Trover’s Payment Integrity division a smart business decision,” said Gary Liter, Executive Vice President in a released statement.
Trover’s integrity solutions for payments involves tracking a wide variety of data- inpatient, outpatient, professional, pharmacy and ancillary queries on adjudicated claims data are all managed and integrated and trackable. Moreover, the system also posts payment coordination of benefits, contract compliance, traditional overpayments as well as auditing HBA and DRG services. Areas where traditional overpayments occur include payments made after term, duplicate payments, retroactive payments.
To lead this effort, Trover has tapped David Hochheiser to join the company as Senior Vice President of Payment Integrity Solutions. Hochheiser comes to Trover from a long background in payment integrity and revenue cycle management, among other things.
“What drew me to Trover Solutions was their extraordinary focus on creating partnerships with clients to achieve the best results possible and their use of industry-leading technologies,” stated Mr. Hochheiser.