Verscend Inpatient Accuracy blends claim editing, clinical validation, and complex claim review to ensure accurate payment. We bring the best of both advanced analytics and human expertise to the process, efficiently reconstructing the course of care and expertly reviewing clinical codes to close the loop on fraud, waste, and abuse.
Our fact sheet explores how Inpatient Accuracy helps health plans:
- Increase policy compliance and accuracy of claim payments
- Reduce medical and administrative costs
- Release valuable clinical and IT resources from labor-intensive claim review and appeal support