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

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podcast

validating clinical claims without medical record review

"From the Trenches" is a new podcast from Verscend exploring the latest trends in healthcare quality and performance analytics, risk adjustment, payment integrity, and payer-provider collaboration. Listen to our latest episode, explaining how Verscend clinically validates claims that are too complex to be processed by automated claim editing systems.

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upcoming webinar

data patterns and predictive magic: how to improve suspecting and chart valuations

Thursday, June 7, 2018, at 2:00 p.m. ET

Big data analytics, machine learning, and artificial intelligence are familiar buzzwords in healthcare. In the complicated world of CMS, however, these technologies are critical to the way you run your business. Machine learning algorithms can leverage historical data to reveal patterns that yield nuanced insights into HCC code identification, which in turn are translated into actionable business rules. Join us as Verscend chief analytics officer David Costello reveals pre- and post-analytics that underscore the power of a clinically driven machine learning approach to suspecting.

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podcast: validating clinical claims
without medical record review


Automated claim editing systems are a crucial component of accurate and efficient claims payment. But there will always be claims...

set your data free! takeaways from
the 2018 Health Datapalooza


Last week, Verscend was honored to sponsor and participate in the 2018 Health Datapalooza conference in Washington, D.C...

podcast: are you ready for medical record review validation?


The HEDIS® deadline for submitting your medical record review validation (MRRV) data is earlier this year. Are you....

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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