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Healthcare Analytics Company Blog

Verscend is empowering a sustainable value-based healthcare delivery and payment system for health plans, employers and providers.

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Verscend is empowering a sustainable value-based healthcare delivery and payment system for health plans, employers and providers.
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Healthcare Analytics Company Blog | blog.verscend.com Reviews

https://blog.verscend.com

Verscend is empowering a sustainable value-based healthcare delivery and payment system for health plans, employers and providers.

INTERNAL PAGES

blog.verscend.com blog.verscend.com
1

best practices to ensure end-to-end payment accuracy in your organization

http://blog.verscend.com/best-practices-to-ensure-end-to-end-payment-accuracy-in-your-organization

Best practices to ensure end-to-end payment accuracy in your organization. On 12/7/16 11:49 AM. As many healthcare organizations know, the frequently changing and extremely complex healthcare landscape has unintentionally created new opportunities to take advantage of the system. As a result, insurers need to work more aggressively than ever before to ensure complete payment accuracy. Our payment accuracy checklist, available in Verscend’s knowledge bank. Dig deeper into more clinically complex claims.

2

the true costs of medical identity theft

http://blog.verscend.com/the-true-costs-of-medical-identity-theft

The true costs of medical identity theft. Edie Hamilton, CPC. On 1/11/17 11:07 AM. That is the average cost victims pay to resolve medical identity theft when they can resolve it. Medical identity theft occurrences are becoming more common. Incidents increased 22 percent from 2014 to 2015, impacting more than 2.3 million people in the United States, per the Ponemon Institute’s. Fifth Annual Study on Medical Identity Theft. Providers can also take some common-sense steps in addition to the mandated HIPAA ...

3

healthcare news: week of December 26

http://blog.verscend.com/healthcare-news-week-of-december-26

Healthcare news: week of December 26. On 12/30/16 7:00 AM. Our final healthcare news roundup of 2016 looks at the current state of Republican plans to repeal the Affordable Care Act (ACA), potential challenges to implementing the Medicare Access and CHIP Reauthorization Act (MACRA), a new initiative aimed at integrating behavioral health services with primary care, and an increase in healthcare spending on children. GOP ready to repeal ACA, but not replace. Challenges could hurt MACRA implementation.

4

how to support successful MRA through medical record retrieval

http://blog.verscend.com/how-to-support-successful-mra-through-medical-record-retrieval

How to support successful MRA through medical record retrieval. On 1/4/17 9:01 AM. You have many choices to make when it comes to how your health plan will conduct Medicare Risk Adjustment (MRA). Among the most critical choices is how you’ll retrieve your medical records for retrospective review and coding. How can you find the right partner to work with in order to ensure a successful MRA season? What’s the average retrieval rate a health plan can expect? At Verscend, we are typically able to obtain 85 ...

5

tips to ensure your quality program actually improves quality

http://blog.verscend.com/tips-to-ensure-your-quality-program-actually-improves-quality

Tips to ensure your quality program actually improves quality. On 12/20/16 9:33 AM. The increasingly strong link between quality outcomes and payment in healthcare increases the importance of closing gaps in care, a critical component of the annual HEDIS. Measurement and reporting process. Plans invest significant resources into HEDIS with the goal of obtaining high ratings, but how can your organization transform routine quality measurement and reporting activities into a true strategic advantage?

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resources.verscend.com resources.verscend.com

Fraud Detection

http://resources.verscend.com/product-info/fraud-detection

Those who seek to commit healthcare fraud and abuse are continually adapting, and at the same time, the increasingly complex healthcare landscape presents fresh opportunities for new or continuing areas of wasteful and erroneous billing. Payers are challenged to stay on top of it all. Our latest fact sheet explores how Fraud Detection improves prevention and recoveries with:. Multi-layered detection analytics that inform and evolve. Clinical investigative review for actionable referrals.

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Record Abstraction

https://www.verscend.com/solutions/quality-improvement/record-abstraction

Ensure thorough documentation of compliant care to improve quality scores. For health plans and other healthcare organizations, the quality measurement and reporting process grows more complex and important every year. Measuring and reporting quickly, efficiently, accurately, and thoroughly are essential. Verscend’s Medical Record Abstraction services deliver rapid, accurate abstraction of clinical data components that document the provision of compliant care for HEDIS. Accuracy: Focus, rigorous training...

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spotting wasteful or abusive claims hidden in plain sight

http://resources.verscend.com/spotting-wasteful-or-abusive-claims-hidden-in-plain-sight

Spotting wasteful or abusive claims hidden in plain sight. While traditional claim editing solutions catch the most common and blatant errors, more complex claims whether accidental or intentional can easily bypass an auto-adjudication system and eventually amount to millions of dollars in lost and inappropriate payments. While the notion of preventing all of these types of claims may seem like an insurmountable task, our experts have insight to share that will help plans tackle this ongoing challenge.

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tips to ensure your quality program actually improves quality

http://resources.verscend.com/infographic/tips-to-ensure-your-quality-program-actually-improves-quality-kb

Tips to ensure your quality program actually improves quality. Plans invest significant resources into HEDIS. Measurement and reporting each year with the goal of obtaining high ratings. Once primarily a marketing tool, these ratings along with strong performance in the many additional quality programs, such as the CMS Five Star program are increasingly tied to payment. Tips in this infographic include:. Leveraging proactive HEDIS runs to benchmark and monitor progress. Record retrieval and review.

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Healthcare Analytics Solutions

https://www.verscend.com/solutions

Optimizing insights and data for smarter solutions. As healthcare adapts to an aging demographic, new payment models, and the rising cost of care, our clients face increasingly complex clinical and financial risk. Verscend utilizes data in meaningful ways to bring our customers smarter and more effective analytics. Our solutions help payers, providers, and employers work together to shape the new currency of health and improve the healthcare landscape. An end-to-end approach for maximum cost savings.

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Healthcare Analytics Solutions for Employers

https://www.verscend.com/markets/employers

See beyond the next move. Determining whether your benefit programs are structured and delivering what your employees need to stay healthy and productive has never been more important. You need to make the right decisions based on sound data. The stakes are high. Health and productivity data integration and warehousing. Data-driven benefit design and program measurement. Cost-driver reporting and analysis. Plan modeling and budgeting. Employee risk profiling and gaps-in-care identification. By combining ...

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Healthcare Analytics Client Portal

https://www.verscend.com/client-center

Welcome to your client center. Multiple solutions, one trusted brand. You’ll have access to:. Find information in our knowledge base. Monitor the status of cases and discussions with the team. Download product specific information. Work more closely with your Client Services Teams. Log in to the client portal. If you are a new user, please contact your Client Executive to discuss your access needs. Verscend Client Conference 2017. Relax participate. unwind. Join us for three engaging days of:. Our expert...

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Medical Record Retrieval and Review

https://www.verscend.com/solutions/revenue-integrity/record-retrieval-review

Customizable solutions that deliver. Quality, compliance and results. Verscend understands the critical nature of information stored in patient medical records. Health plans benefit from the ability to quickly access, organize, and interpret member medical record data to maintain appropriate levels of reimbursement, ensure provider payment integrity, and sustain the highest quality of care. Verscend delivers a customizable, centralized solution to achieve appropriate revenue at a lower cost. We provide t...

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Record Retrieval

https://www.verscend.com/solutions/quality-improvement/record-retrieval

Maximize internal budgets and minimize provider disruption. Track the progress of each record request with detailed notes from our retrieval agents. Central record repository for immediate access by any authorized requestor. Chart review for retrospective, prospective, audits, RADV, HEDIS. Special projects and physician education. Comprehensive workflow tools for large scale project management. Increase record retrieval rates. Reduce provider disruption resulting from multiple record requests.

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Healthcare Analytics Company Blog

Discover more with our blog. Read Verscend’s latest articles, news highlights and perspectives on the business of healthcare. Lets stay in touch. Subscribe to our blog:. The true costs of medical identity theft. Posted by Edie Hamilton, CPC. On 1/11/17 11:07 AM. That is the average cost victims pay to resolve medical identity theft when they can resolve it. Fifth Annual Study on Medical Identity Theft. How to support successful MRA through medical record retrieval. Posted by Howard Gross. Our final healt...

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