IBJNews

Q&A

Back to TopCommentsE-mailPrintBookmark and Share

Dr. Stanley Adkins is chief medical officer of Indianapolis-based AmeriVeriCR,  which launched early this year. It uses software to review medical claims for errors that slip through even after an insurance company or third-party administrator processes them. Essentially, AmeriVeri’s software makes sure that whatever health care service is provided to a patient (represented by a CPT code) matches properly with the patient’s diagnosis (represented by an ICD code).

AmeriVeri estimates that about 5 percent of claims have errors in them, which often end up costing employers more money. “It’s kind of like getting a hamburger at McDonald's and getting charged for two,” Adkins said. With health care reform and a new, larger set of diagnosis codes phasing in over the next three to four years, AmeriVeri thinks demand for its service will grow.

IBJ: How does your service end up saving money for employers?

A: If you get into a $100,000 heart bypass procedure, there’s a whole bunch of codes that go into that. A hospital will even bill for a Tylenol. There are so many codes that go into a system. The people doing the coding can make errors. It’s not a fault issue, by any means. It’s just the way the system is. The [employer] can send the file to us, and we’ll scrub it real-time. If there are errors, then those savings go directly to the [employer], and we get a percentage of that. If there are no errors, then there are no savings.

IBJ: What will the impact of the new set of diagnosis codes, ICD-10, be?

A: What will it do to the error rate [which is currently about 5 percent]? It will increase it. What will do to the business? I suspect it will increase it.

IBJ: What, if any, impact will the new health reform law have on your business?

A: I think it’s just going to get increasingly complicated and the people that are required to administer it are going to have to have more information. I think what’s going to happen in the next three or four years is there’s going to be an increasing need for this kind of scrub engine.

ADVERTISEMENT

Post a comment to this story

COMMENTS POLICY
We reserve the right to remove any post that we feel is obscene, profane, vulgar, racist, sexually explicit, abusive, or hateful.
 
You are legally responsible for what you post and your anonymity is not guaranteed.
 
Posts that insult, defame, threaten, harass or abuse other readers or people mentioned in IBJ editorial content are also subject to removal. Please respect the privacy of individuals and refrain from posting personal information.
 
No solicitations, spamming or advertisements are allowed. Readers may post links to other informational websites that are relevant to the topic at hand, but please do not link to objectionable material.
 
We may remove messages that are unrelated to the topic, encourage illegal activity, use all capital letters or are unreadable.
 

Messages that are flagged by readers as objectionable will be reviewed and may or may not be removed. Please do not flag a post simply because you disagree with it.

Sponsored by
ADVERTISEMENT

facebook - twitter on Facebook & Twitter

Follow on TwitterFollow IBJ on Facebook:
Follow on TwitterFollow IBJ's Tweets on these topics:
 
thisissue1-092914.jpg 092914

Subscribe to IBJ
  1. Here are a few candidates for this new group, "ripped from the headlines." First up, that bizzaro State Senator Brent Waltz; secondly, the unethical Todd Huston, and his contractual arrangements scheme; Finally, but not least of all, the dishonorable Eric Turner. What sayeth you Greg Zoeller?

  2. Good day. I can't hide this great testimony that take place in my life I will love everyone to know it and be partaker that is why I always place it on answer, I am Mrs,Natalie Cuttaia by name, I live in Texas, United State Of America, I want to thank (Mr.Bruce Brandon) for his kindness upon my family life. I never knew that there is still nice lender like this on internet and earth here. Just some Months Back, I was in search for a loan of $100,000,00 as I was running out of money for feeding and rent. I was scammed $6,800 Dollars and I decided not to involve my self in such business again but a Friend of my introduced me to a loan firm due to my appearance and doings. And I told him that I am not interested of any loan deal anymore but he told me that there is still a nice lender who he will recommend me to, and I made a trial and I am most grateful lucky am I today, I was given a loan amount of $100,000.00usd, by this great Company (Bruce Brandon Loan Company) managed by (Mr.Bruce Brandon) If you are in need of a genuine or legit loan or financial assistance and you can be reliable and trusted of capable of paying back at the due time of the funds I will advice you to, contact him via: ( bruce.brandon071@gmail.com ) And you will be free from scams in the internet. All thanks to Mr.Bruce Brandon You are the one who remove me and my family out of poverty. The reason why i am doing this is that, i promise Mr.Bruce Brandon that if i truly got my loan, i will advertize his company and bring customers to his company. Contact him via ( bruce.brandon071@gmail.com )for the Loan you have been looking for..

  3. Hello, We are firm Organization formed to help people in needs of helps,such as financial help. So if you are going through financial difficulty or you are in any financial mess,and you need funds to start up your own business,or you need loan to settle your debt or pay off your bills,start a nice business, or you are finding it hard to obtain capital loan from local banks,contact us today via email mrsroseberrywilkinsfunds.usa@gmail.com So do not let these opportunity pass you by because Jesus is the same yesterday, today and forever more. Please these is for serious minded and God fearing People. Your Name: Loan Amount: Loan Duration: Valid Cell Phone Number: Thanks for your understanding to your contact as we Await Regards Management Email:mrsroseberrywilkinsfunds.usa@gmail.com

  4. The question is, where could they build a new stadium? It seems in the past year, all the prime spots have been spoken for with potential projects. Maybe in the industrial wasteland area a block past Lucas Oil? I think it needs to be close to the core, if a new stadium is built.

  5. Aldi is generally a great shopping experience. Still, I'm sure YOU wouldn't want to shop there, which I consider a positive.

ADVERTISEMENT