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improving healthcare quality: four proven health plan strategies that providers should ado...

The following article by Verscend President and CEO Dr. Emad Rizk was originally published by the HFM blog, a publicatio...

are you playing “whack-a-mole” with your performance improvement initiatives?

In the past, payers’ approach to data analytics was more tactical than strategic. Analytics were deployed in a siloed fa...

how does data analytics curb healthcare spending?

Despite the uncertainty surrounding what U.S. healthcare will look like five years from now—or maybe even five months fr...

from the HEDIS® 2017 trenches: the importance of an admin refresh

The HEDIS® 2017 season is more than halfway done. Are you on track for the reporting deadline? Our Verscend experts are ...

the 2018 final payment notice: the top four takeaways

After listening to public comments, the Centers for Medicare & Medicaid Services (CMS) has released its Final Notice for...

from the HEDIS® 2017 trenches: tracking your retrieval and abstraction efforts

The HEDIS® 2017 season is about halfway done. Are you on track for the reporting deadline? In the latest addition to our...

RISE to the occasion: quality, risk adjustment, payers, and providers converge

Although its Nashville location remains the same, the Annual RISE Summit continues to grow in size and importance each y...

busting myths about clinical claim review

We know that automated claim editing is unable to analyze many claims due to their clinical complexity, the most obvious...

watch: how big data and automation are disrupting healthcare

How is the shift to value-based care creating a “perfect storm” for payers and providers to leverage big data as technol...

the art and science of handling Medicare risk adjustment coding “gray areas”

While the Centers for Medicare & Medicaid Services (CMS) has guidelines in place for Medicare risk adjustment coding, th...

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