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. Our on-demand webinar demonstrates how to recognize red flags in asthma and allergy medical record documentation that would warrant a more in-depth medical review.

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the three fundamentals of
risk adjustment success

The term “risk adjustment” means different things to different people depending on their role. The Centers for Medicare ....

payer-provider collaboration
tools: a state of the union

The imperative for payers and providers to collaborate in a systematic way has never been stronger. But while....

the twin engines
of clinical validation

Advanced analytics applied by an automated claim editing system are crucial for identifying claims that are potentially....

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how to stay in shape for the HEDIS® 2019 marathon


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