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crunching the numbers as ACA risk adjustment transfer payments are put on hold

On Monday, the Centers for Medicare & Medicaid Services (CMS) released the health plan-specific 2017 benefit year risk a...

podcast: navigating to better Star Ratings performance

You’ve submitted your final data to NCQA and CMS, marking the end of the HEDIS® 2018 marathon. Now it’s on to the next c...

avoid the latest rash of asthma and allergy schemes in provider billing

While the cause of the rise in asthma and allergy rates over the past several years isn’t 100 percent clear, one of the ...

video: suspecting analytics transformed—the rapid movement from clinical rules to machine ...

In the complex world of risk adjustment, health plans rely on suspect analytics to identify members with possibly undocu...

podcast: the final sprint to the HEDIS 2018 finish

The countdown is on for the June 15 deadline to submit your HEDIS 2018® data, and there’s no shortage of details to keep...

podcast: validating clinical claims without medical record review

Automated claim editing systems are a crucial component of accurate and efficient claims payment. But there will always ...

set your data free! takeaways from the 2018 Health Datapalooza

Last week, Verscend was honored to sponsor and participate in the 2018 Health Datapalooza conference in Washington, D.C....

podcast: are you ready for medical record review validation?

The HEDIS® deadline for submitting your medical record review validation (MRRV) data is earlier this year. Are you prepa...

busted: the top fraud schemes of Q1 2018

The first three months of 2018 were unpredictable, to say the least, from record-breaking Nor’easters to bracket-busting...

the CMS 2019 Final Rate Notice: Star Ratings changes

Medicare Advantage plans are still digesting the 2019 Medicare Advantage and Part D Rate Announcement and Call Letter, r...

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