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from the trenches podcast: the changing quality improvement landscape

In the second episode of our “From the Trenches” podcast, we discuss the results of a new Verscend survey on the changin...

just the facts: answering your questions on claim editing and clinical validation

At a recent Verscend webinar on claim editing analytics, attendees had many questions about claim editing and clinical v...

from the trenches podcast: prepping for HEDIS® 2018 production

In Verscend’s new “From the Trenches” podcast, we’ll be digging deep into the challenges facing health plans from month ...

what makes Verscend a “major player” in clinical and financial analytics?

A new IDC MarketScape report1 names Verscend Technologies as a “major player” in clinical and financial analytics. We sa...

get more bang for your buck with claim editing analytics

Remember the infomercial tagline, “Set it and forget it!”? That might be what you would look for in a rotisserie grill, ...

breaking it down: proposed Medicare Advantage risk adjustment model changes for 2019

The Centers for Medicare & Medicaid Services (CMS) has released its advance notice of proposed changes to the Medicare A...

busted: top five fraud busts of Q4 2017

When Santa made his list this past Christmas, the vast majority of healthcare providers were nice, but a small handful o...

quality improvement: more than just HEDIS®

You can’t have a conversation about healthcare quality without talking about HEDIS®, which has played a pivotal role in ...

analysis: NCQA suspends PLD file requirements for HEDIS® 2018

Last week, the National Committee for Quality Assurance (NCQA) informed health plans, vendors, and auditors that it has ...

how to navigate RAPS-to-EDS revenue expectations

In the 2017 payment year, the 25 percent Encounter Data System (EDS) contribution and its impact on risk scores and asso...

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