When a health plan denies a claim, the provider wants to know why it was denied. Sometimes, the answer is that a modifier appears to have been used inappropriately, which Verscend detects using a process we call clinical validation. And as it turns out, clinical validation doesn’t just lead to better outcomes for the payer, but also the members and providers that it serves. On the latest episode of Verscend’s “From the Trenches” podcast, we talk with John Neumann, registered nurse and clinical consultant for Verscend’s Payment Accuracy solutions.
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