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the true costs of medical identity theft

Posted by Edie Hamilton, CPC on 1/11/17 11:07 AM

$13,500. 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.

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how to support successful MRA through medical record retrieval

Posted by Howard Gross 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? We recently sat down with our own medical record retrieval guru, Howard Gross, to help guide health plans in their decision-making process for pursuing medical record retrieval.

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healthcare news: week of December 26

Posted by Verscend 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.

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tips to ensure your quality program actually improves quality

Posted by Verscend 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? Check out our latest infographic.

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healthcare news: week of December 12

Posted by Verscend 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.

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post-election recap: the future of healthcare reform

Posted by Verscend on 12/14/16 10:38 AM

For most of the 2016 election cycle, the future of the Affordable Care Act (ACA) looked secure. But President-elect Donald Trump’s surprise victory, coupled with Republicans retaining their majority in both the House and Senate, has thrown the healthcare industry for a loop, with payers, providers, and participants alike all anxiously awaiting what may happen next. Could all the work that has happened to implement the ACA be reversed? One thing is for certain—everything is uncertain!

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healthcare news: week of December 5

Posted by Verscend 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 20th anniversary of DxCG Intelligence, how inaccurate provider directories hurt consumers, and a healthcare fraud settlement over excessive billing.

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

Posted by Verscend 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, offers insight to help your organization achieve end-to-end payment accuracy.

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healthcare news: week of November 28

Posted by Verscend on 12/2/16 9:47 AM

This week’s healthcare news highlights what’s expected from President-elect Donald Trump’s nominees to lead the Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS), what the future might hold for the CMS Innovation Center once Republicans control both Congress and the White House, and how patients insured by plans on the Affordable Care Act (ACA) health exchanges are shouldering steep costs for specialty drugs.

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CareOregon: how to achieve measurable quality improvement

Posted by Verscend 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.

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