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

view solutions overview


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.

listen to the podcast

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.

watch the webinar

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....

get smarter with the knowledge bank

view knowledge bank

recently added to the knowledge bank


Payment Accuracy


how to stay in shape for the HEDIS® 2019 marathon


Star Navigator

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