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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asthma and allergy: exposing the “rash” of provider schemes

The nationwide rise of identifiable allergens has resulted in a notable increase in billing and payment of allergy and asthma codes. High reimbursement rates and limited oversight allow some providers to exploit this vulnerability, obtaining payment for services that may not be medically necessary or provided at all. Watch our on-demand webinar as we dive into the top allergy and asthma codes billed by providers and how to effectively data mine for patterns and schemes.

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discover more with our blog

RA coding validation gives
health plans more certainty

Compliance is becoming an increasingly difficult challenge for Medicare Advantage plans, especially when it comes to....

crunching the ACA risk
adjustment transfer numbers

On Monday, the Centers for Medicare & Medicaid Services (CMS) released the health plan-specific 2017 benefit year risk...

podcast: navigating to better
Star Ratings performance

You’ve submitted your final data to NCQA and CMS, marking the end of the HEDIS® 2018 marathon. Now it’s on to the next...

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

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busted: top 5 healthcare fraud schemes


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