Nokomis

Member Level: Sponsor

Vendor Overview

Description of Services: NOKOMIS: Experts in Claim Accountability

At the core of Nokomis is Claim Accountability, a holistic approach to claim submission review that combines customizable technology with an expert team of reviewers. Claim accountability goes beyond payment integrity and code edits, using intelligent claim selection and experienced medical record reviewers to find inaccuracies in all claims, regardless of dollar amount.

Nokomis, founded in 2013, captures an average of 9% in incremental savings for health plans, freeing more dollars for the programs your plan cares about most!

Further, Nokomis helps plans understand where claim inaccuracies occur, before payment, allowing each plan to decide how to address them. When training is of interest, Nokomis workshops help provider teams improve claim accuracy. Each health plan partner with Nokomis can turn specific review rules on or off depending on requirements and relationships.

Nokomis team members have worked in health plans and understand the process of adding a new vendor, so making implementation as easy as possible is a top priority. All claim reviews are handled before payment and are supported by external requirements, guidelines, and rules, with less than 1% of Nokomis recommended denials seeing any appeal. Promptness is key and all reviews are completed within one business day.

It’s important to note that plans only pay Nokomis a percentage of the savings realized – there are no fees or minimums. Email or call Annie Perry at Nokomis today for a conversation about claim accountability and how unique claim review support can help your plan, at info@nokomishealth.com or 612.825.2342.

Primary Service: Claims
Secondary Service: Administrative Systems

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206 NORTH FIRST STREET
Minneapolis, MN 55401
6128252342
https://nokomishealth.com/

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Documents
1/23/2023

Recording: Presentation: Fraud Waste and Abuse and SIU Peer Group Call, January 2023
Rich Henriksen of Nokomis shares his expertise in claims reimbursement and contracting.

1/18/2023

Presentation: Fraud Waste and Abuse and SIU Peer Group Call, January 2023
Rich Henriksen of Nokomis shares his expertise in claims reimbursement and contracting.

9/20/2022

Recording: Claim Accountability & Why it Matters
NOKOMIS will cover in this video presentation Claim Accountability, which relies on both technology and human expertise to reduce inaccuracies and fraud in all healthcare claims before payment, whether Medicare, Medicaid, or commercial insurance claims.

9/15/2022

Presentation: Claim Accountability & Why it Matters
NOKOMIS will discuss Claim Accountability, which relies on both technology and human expertise to reduce inaccuracies and fraud in all healthcare claims before payment, whether Medicare, Medicaid, or commercial insurance claims.