|By Business Wire||
|May 15, 2014 09:14 AM EDT||
Trover Solutions, a leading independent provider of insurance subrogation, claims recovery and cost containment solutions, today announced the official launch of its Payment Integrity Solutions division. Trover Solution’s new suite of services will improve health payers’ ability to ensure that accurate payments are made to the correct providers.
Trover’s Payment Integrity Solutions cover a wide array of inpatient, outpatient, professional, pharmacy and ancillary queries on adjudicated claims data. Their Payment Integrity suite of solutions also includes post payment coordination of benefits, contract compliance, traditional overpayments (paid after term, duplicate payments, retroactive payments), as well as auditing (HBA and DRG) services.
“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.
Trover invests significantly in top of the line technologies, and applies advanced analytics to review complex data to identify payment errors, coding errors and overpayments. Their straightforward approach to analyzing big data is a unique combination of leading-edge technologies, highly specialized people, and a proven process.
To lead their efforts, Trover Solutions has tapped David Hochheiser to join the company as Senior Vice President, Payment Integrity Solutions.
Mr. Hochheiser will have the responsibility to work with Trover’s clients and prospects to identify areas where Trover can deliver its Payment Integrity services. In addition, he will be in charge of the expansion of Trover’s next generation analytics and Payment Integrity platforms.
With more than 15 years of industry experience, Mr. Hochheiser’s healthcare knowledge focuses on Payment Integrity, Revenue Cycle Management, analytics, grouping methodologies (DRGs, APC and episode based groupers) and prospective payment methodologies. Also, David brings extensive experience in IT system implementation and integration, government payment regulations and data knowledge. “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.
“We are delighted that David has joined us to help lead the strategic development of our Payment Integrity Solutions division. David has demonstrated a solid track record of success, and we are confident that he will deliver a value-added, high level approach to our clients’ Payment Integrity needs,” said CEO Robert Bader.
Mr. Hochheiser will join Trover Solutions from Optum, where he was the General Manager and Product Development lead for both the revenue cycle management and payment integrity business. He holds BS degrees in Computer Science and Mathematics as well as an MS degree in Applied Mathematics from the University of Vermont, and completed doctoral work in applied mathematics with a concentration in computer science at the University of Arizona.
About Trover Solutions, Inc.
Trover Solutions, Inc. is a leading independent provider of comprehensive cost containment services and software to the private healthcare payor and property and casualty industries. Among the cost containment services provided by Trover are insurance subrogation, payment integrity solutions such as overpayments and auditing, and litigation management.