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

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podcast

fighting healthcare fraud and abuse with NHCAA

"From the Trenches" is a new podcast exploring the latest trends in healthcare payment accuracy, risk adjustment, quality and performance analytics, and payer-provider collaboration. Listen to our latest episode as we sit down with Louis Saccoccio, CEO of NHCAA, to discuss how payers are leveraging the latest technologies and processes to combat healthcare fraud.

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on-demand webinar

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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discover more with our blog

podcast: fighting healthcare
fraud and abuse with NHCAA


Healthcare organizations must constantly improve their technologies and processes to stay one step ahead of healthcare fraud. So, what does the leading...

Verscend + Cotiviti at NHCAA
= strength in numbers


Everyone likes a good blog post about math, right? (Cue the chirping crickets.) Okay, maybe not. But here is some pretty simple arithmetic...

the 2019 Star Ratings program:
making the cut


Cut points are the ranges within which a measure’s score needs to fall in order to be assigned a certain star value. As an example, here is....

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recently added to the knowledge bank

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BROCHURE

Payment Accuracy


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ON-DEMAND WEBINAR

how to stay in shape for the HEDIS® 2019 marathon


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FACT SHEET

Star Navigator


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