Health plans of all sizes and lines of business continue to feel pressure to contain costs, with market drivers such as growing managed Medicare and Medicaid populations, regulations that affect profitability, and market consolidation.
Verscend offers a complete claim accuracy approach that optimizes your claim processing and increases cost containment on all types of claims. We blend sourced and proprietary editing in batch or real time with clinical expert review of outlier claims, providing clients with broad, seamless, and integrated overpayment protection.
Our latest fact sheet explores how Claim Accuracy can offer greater cost containment with:
- Claim Editing for increased accuracy and efficiency
- Clinical Validation that reduces medical costs
- Inpatient Claim Review for proper high-dollar claim payment
- Collaborative support for additional value