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

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from the trenches: sifting the 2019 Medicare Advantage Final Rate Notice

"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, breaking down what the 2019 CMS Final Rate Notice means for Medicare Advantage plans and their risk adjustment programs.

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white paper

survey: the changing quality improvement landscape

In our new white paper, we summarize the results of our latest survey on the changing quality improvement landscape and offer insights gleaned from both Verscend and health plan experts. Are health plans prioritizing population health and data-driven initiatives? And what are their most significant challenges in closing care gaps? Download the white paper to find out.

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discover more with our blog

busted: the top fraud
schemes of Q1 2018

The first three months of 2018 were unpredictable, to say the least, from record-breaking....

the CMS 2019 Final Rate Notice:
Star Ratings changes

Medicare Advantage plans are still digesting the 2019 Medicare Advantage and Part D Rate....

podcast: are you catching all
types of duplicate claims?

Is your claim editing system catching all types of duplicate claims, or are many of them pass....

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recently added to the knowledge bank


Payment Accuracy


busted: top 5 healthcare fraud schemes


Fraud Detection