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

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podcast

how clinical validation is good for payers, providers, and patients

"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 examine how clinically validating claims doesn’t just lead to better outcomes for health plans, but also their members and providers.

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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

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....

podcast: how clinical validation is good
for payers, providers, and patients


When a health plan denies a claim, the provider wants to know why it was denied. Sometimes, the answer is that a modifier appears....

coming "off the sidelines"
in value-based care


While collaboration between payers and providers is the most crucial component of delivering better care at lower cost in the United States....

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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).