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Get smarter with our knowledge bank. Boosting commercial risk adjustment performance with supplemental data. View the fact sheet. Examining the 2018 HHS payment notice and the future of the exchanges. But wait.there's more: risk adjustment and predictive modeling advances. Planting the seeds for measurable quality improvement across CareOregon’s population. View the case study. View the fact sheet. Mind the gap: keep your quality improvement program on track. View the white paper. View the fact sheet.

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Get smarter with our knowledge bank. Boosting commercial risk adjustment performance with supplemental data. View the fact sheet. Examining the 2018 HHS payment notice and the future of the exchanges. But wait.there's more: risk adjustment and predictive modeling advances. Planting the seeds for measurable quality improvement across CareOregon’s population. View the case study. View the fact sheet. Mind the gap: keep your quality improvement program on track. View the white paper. View the fact sheet.

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5 news

6 client center

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8 view the report

9 enterprise intelligence

10 view the webinar

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markets,solutions,resources,careers,news,client center,blog,view the report,enterprise intelligence,view the webinar,payment accuracy solutions,view the brochure,fraud detection,view the infographic,view the ebrief,view the checklist,consulting services

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Knowledge Bank | resources.verscend.com Reviews

https://resources.verscend.com

Get smarter with our knowledge bank. Boosting commercial risk adjustment performance with supplemental data. View the fact sheet. Examining the 2018 HHS payment notice and the future of the exchanges. But wait.there's more: risk adjustment and predictive modeling advances. Planting the seeds for measurable quality improvement across CareOregon’s population. View the case study. View the fact sheet. Mind the gap: keep your quality improvement program on track. View the white paper. View the fact sheet.

INTERNAL PAGES

resources.verscend.com

1

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.

2

are your improper payments hiding in plain sight?

http://resources.verscend.com/infographic/are-your-improper-payments-hiding-in-plain-sight

Are your improper payments hiding in plain sight? In 2015, improper payments were an estimated $72 billion within Medicaid and Medicare alone, despite the industry’s best efforts to apply utilization management, claim editing, and other initiatives. Whether in government or commercial health insurance, the majority of this loss does not come from schemes and scams. Rather, the primary culprits are mundane billing waste and abuse issues that by their very nature can easily hide in plain sight.

3

but wait...there's more: risk adjustment and predictive modeling advances

http://resources.verscend.com/odw/risk-adjustment-and-predictive-modeling-advances

But wait.there's more: risk adjustment and predictive modeling advances. Developments in healthcare technology occur often, with new tools popping up daily. While not the "new kid on the block," risk adjustment and predictive models are a cornerstone for healthcare strategy and operations due to their power and accuracy. In our upcoming webinar, experts from Verscend will explore best practices and innovations in risk adjustment and predictive modeling. Presenters will focus on how to effectively use:.

4

the evolution of DxCG, the gold standard in risk adjustment and predictive modeling

http://resources.verscend.com/white-paper/the-evolution-of-dxcg

The evolution of DxCG, the gold standard in risk adjustment and predictive modeling. In 2016, DxCG celebrates its 20th anniversary, an occasion to examine its fascinating history and to understand its importance in advancing the science of risk adjustment and predictive modeling. DxCG risk-based predictive modeling has transformed the way healthcare is evaluated, delivered, and paid for, leading the way for value-based care initiatives across the country. View your white paper. Record retrieval and review.

5

Enterprise Intelligence

http://resources.verscend.com/product-info/enterprise-intelligence

To be successful with population health management, organizations need a comprehensive view into the health of their populations. Often data complexity can create challenges in assessing critical metrics, such as population risk or disease prevalence. Enterprise Intelligence from Verscend Technologies allows organizations to aggregate and easily understand population healthcare data to answer critical questions, such as:. Why are my costs increasing? How healthy or sick is my population?

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blog.verscend.com

Healthcare Analytics Company Blog | Payer

http://blog.verscend.com/topic/payer

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:. Busting myths about clinical claim review. Posted by Debi Behunin. On 3/16/17 10:53 AM. Watch: how big data and automation are disrupting healthcare. On 3/10/17 7:32 AM. How is the shift to value-based care creating a perfect storm for payers and providers to leverage big data as technology and automation evolve? Posted by Deb Bradley.

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Healthcare Analytics Company Blog | Edie Hamilton, CPC

http://blog.verscend.com/author/edie-hamilton-cpc

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. Fraud, Waste and Abuse (13). Commercial Risk Adjustment (6). Fraud, waste, and abuse prevention (1).

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healthcare news: week of December 5

http://blog.verscend.com/healthcare-news-week-of-december-5

Healthcare news: week of December 5. On 12/9/16 10:14 AM. This week’s healthcare news takes a look at how hospitals are anxious about major cuts that could take place if the Affordable Care Act (ACA) is repealed, the 20. Anniversary of DxCG Intelligence, how inaccurate provider directories hurt consumers, and a healthcare fraud settlement over excessive billing. Hospitals warn of massive cuts. If ACA is repealed:. Verscend is celebrating the 20. Inaccurate provider directories hit patients:.

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CareOregon: how to achieve measurable quality improvement

http://blog.verscend.com/careoregon-how-to-achieve-measurable-quality-improvement

CareOregon: how to achieve measurable quality improvement. On 11/30/16 1:35 PM. Health plans across the country expend significant energy on annual HEDIS. Quality reporting requirements. With quality metrics increasingly tied to financial success, the importance of both a successful submission process and continued performance improvement has only grown. CareOregon’s earliest quality efforts took a seasonal approach to measurement and reporting, like many health plans do today. This included an annua...

blog.verscend.com

healthcare news: week of December 12

http://blog.verscend.com/healthcare-news-week-of-december-12

Healthcare news: week of December 12. On 12/16/16 8:03 AM. This week’s healthcare news looks at how Americans with pre-existing conditions could be impacted if the Affordable Care Act (ACA) is repealed, the number of people who have gained coverage under the ACA, patient dissatisfaction with healthcare data practices, and the passage of a major medical research law. ACA repeal may impact patients with pre-existing conditions. Report details impact of ACA on uninsured rate. Lets stay in touch.

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Healthcare Analytics Company Blog | Verscend

http://blog.verscend.com/author/verscend

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:. Watch: how big data and automation are disrupting healthcare. On 3/10/17 7:32 AM. How is the shift to value-based care creating a perfect storm for payers and providers to leverage big data as technology and automation evolve? And at the same time, how are these advances empowering healthcare consumers? On 1/18/17 9:50 AM. Our final heal...

blog.verscend.com

Healthcare Analytics Company Blog

http://blog.verscend.com/all

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:. Busting myths about clinical claim review. Watch: how big data and automation are disrupting healthcare. The art and science of handling Medicare risk adjustment coding gray areas. Sharpening your view: using predictive modeling to identify potentially avoidable ED utilization. From the HEDIS 2017 trenches: optimizing your chases. Health...

blog.verscend.com

Healthcare Analytics Company Blog | Fraud, Waste and Abuse

http://blog.verscend.com/topic/fraud-waste-and-abuse

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:. How far can automated claim editing go? Three fast facts you should know. Posted by Debi Behunin. On 2/8/17 12:00 PM. Book, as well as payer-sourced custom rules, these systems save plans a significant amount of money by keeping them from paying incorrect claims without human intervention. The true costs of medical identity theft. Fifth ...

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Get smarter with our knowledge bank. Boosting commercial risk adjustment performance with supplemental data. View the fact sheet. Examining the 2018 HHS payment notice and the future of the exchanges. But wait.there's more: risk adjustment and predictive modeling advances. Planting the seeds for measurable quality improvement across CareOregon’s population. View the case study. View the fact sheet. Mind the gap: keep your quality improvement program on track. View the white paper. View the fact sheet.

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Email to a Friend. Virginia Quick Reference List. Caring Connections Advance Directives Forms Library. Source: Caring Connections, a program of the National Hospice and Palliative Care Organization. Caring Connections is a program of the National Hospice and Palliative Care Organization. As a public service, Care Connections provides free online access to advance health care planning information and forms for Virginia and the other forty-nine states. Source: Virginia Division for the Aging. VHQC is the o...

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