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

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how risk adjustment coding validation gives health plans more certainty

"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 as we look at how health plans benefit from risk adjustment coding claim validation, examining how it improves audit preparedness and revenue consistency.

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upcoming webinar

clinical expertise and coding competence: the twin engines of clinical validation

Tuesday, August 28, 2018, at 1:00 p.m. ET

Pre-pay clinical validation of claims can drive another 1 percent or more savings off annual medical spend by adding a second line of defense to automated claim editing, but it requires both clinical expertise and coding competence. Advanced analytics are critical for identifying suspect claims, but many still require detailed review by a seasoned clinician. Using one without the other is like flying a plane with only one engine—it can be done, but results are not optimal. Come hear from Verscend experts, who will demonstrate clinical validation techniques that can be used to optimize claim accuracy for payers.

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