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

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navigating to better Star Ratings performance

"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 Star Navigator, a new solution to enable Medicare Advantage plans to determine the most direct path to higher Star Ratings.

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upcoming webinar

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

Thursday, June 28, 2018, at 1:00 pm ET

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. Join us as we offer an investigator’s perspective on how to identify top paid allergy and asthma codes used in common healthcare schemes and recognize red flags when conducting cursory examinations of medical documentation.

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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...

avoid the latest
schemes in provider billing

While the cause of the rise in asthma and allergy rates over the past several years isn’t 100 percent clear, one of the effects is...

video: suspecting
analytics transformed

In the complex world of risk adjustment, health plans rely on suspect analytics to identify members with possibly...

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Payment Accuracy


busted: top 5 healthcare fraud schemes


Fraud Detection