Performant Healthcare, Inc.

About Performant Healthcare, Inc.

Performant Healthcare Solutions is the premier independent healthcare payment integrity company in the US. Their mission is to help health plans identify improper payments and recover or save capital lost due to billing errors through technology-enabled audit, eligibility, recovery, and data analytics solutions. They aim to control costs, restore financial integrity, and transform the financial future of their clients with a holistic approach.

Products & Services

Audit Advantage®:Offers clinical and audit expertise with predictive analytics and customer service for scalable solutions tailored to client goals, covering inpatient, outpatient, post-acute, home care, and high-risk specialty audits.

Data Mining Advantage™:Innovative technology for data management and analytics to improve cost containment, with customizable approaches to fix adjudication system issues, including contract compliance reviews and coordination of benefits.

MSP Advantage®:Deploys trained outreach professionals for data validation and coordination with MA plans and CMS, including lockbox services and OCR for document processing.

TPL Advantage®:Helps MCOs identify other coverage forms before Medicaid to achieve savings, with end-to-end processing and OCR document digitization.

Recovery Advantage®:Focuses on quick and efficient recovery of funds like overpayments and debts, leveraging over 40 years of experience as a leading recovery audit vendor.

Specialties

Payment Integrity Solutions Audit and Recovery Services Data Analytics Healthcare Cost Containment Eligibility and Coordination of Benefits

Funding History

No funding data available

This company may be bootstrapped or privately funded

Growth Metrics

+45%

Employee Growth

YoY

3.2x

Funding Growth

Last Round

12

Markets

Operating

10K+

Customers

Active

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Team & Leadership

M

Marijke Foster

C

Chanda Hight

Healthcare Correspondence Digital Media Supervisor

P

Parul Mistry

J

Jennifer Lewis

Supervisor, Medical Review Audit-Clinical

M

Margaret Lane

H

Hongbin Yu

Analytic EDI Engineer, Sr.

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