Verscend drives better healthcare outcomes through data analytics, supporting payers' financial performance and quality improvement initiatives.

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FACT SHEET

Payment Accuracy


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INFOGRAPHIC

busted: top 5 healthcare fraud schemes


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FACT SHEET

Fraud Detection


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solving the RAPS/EDS transition challenge: using comparative analysis to drive revenue

Think you've heard all there is to hear about RAPS versus EDS? While the industry has been discussing the challenges of the transition for a while now, the landscape continues to evolve as the percentage of EDS submissions grows and payers learn more insights through comparative analyses. Learn what you can do to identify data gaps in your extracts and shine attention on the in-house errors that have a major impact on revenue. Don't miss this opportunity to learn how to make a direct impact on your risk adjustment bottom line.

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analysis: NCQA suspends PLD file
requirements for HEDIS® 2018


Last week, the National Committee for Quality Assurance (NCQA) informed health plans, vendors, and auditors that....

how to navigate RAPS-to-EDS
revenue expectations


In the 2017 payment year, the 25 percent Encounter Data System (EDS) contribution and its impact on risk scores and....

thinking inside the box with
a provider decision quadrant


Sophisticated data analytics can process billions of claim code line edits through the course of the day, helping payers....