Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
To mitigate potential risks, the Centers for Medicare and Medicaid Services (CMS) have instituted guidelines to ensure the validation of their networks. Given that Pharmacy Benefit Managers (PBMs) are significantly impacted by the risk assessment process, the demand for precise and actionable insights has reached unprecedented levels. The LexisNexis Provider Integrity Scan streamlines a variety of provider verification processes and offers continuous monitoring by cross-referencing numerous files and lists, while also delivering automatic alerts for numerous high-risk factors. This tool is proficient in screening and verifying providers both before and after enrollment, aiming to uncover and thwart criminal activities effectively. By identifying potentially fraudulent providers and businesses involved in health-related programs, the LexisNexis Provider Integrity Scan serves to lower costs for health care payers and PBMs alike. Our innovative solution empowers users to effectively conduct multiple searches and access crucial information, enhancing their operational efficiency and security. This comprehensive approach not only safeguards the integrity of health care programs but also fosters a more reliable health care environment.
Description
Optimize your enrollment procedures by utilizing our comprehensive, mobile-first enrollment solution, which is designed to eliminate paper transactions and enable the collection of member information seamlessly. Enhance your entire workflow, from enrollment to reconciliation and service delivery, minimizing errors and the necessity for manual tasks. Gain a consolidated view of your assigned leads, outstanding items, alerts, and notifications for better oversight. Benefit from intelligent prospecting features, including the ability to schedule tasks, conduct follow-ups, and efficiently manage lead assignments and searches. Experience remote and offline processing for applications and enrollments, allowing for immediate access to vital information that improves turnaround times. Ensure compliance with Centers for Medicare and Medicaid guidelines by capturing scopes of appointment effectively. Leverage dynamic mobile forms that facilitate the on-the-go collection of enrollees’ details and signatures, making the entire enrollment process more agile and responsive. This solution empowers organizations to stay ahead in a fast-paced environment, ensuring efficiency and accuracy in member management.
API Access
Has API
No
API Access
Has API
No
Integrations
XML
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
No
Types of Training
Training Docs
Yes
Webinars
Yes
Live Training (Online)
Yes
In Person
Yes
Types of Training
Training Docs
Yes
Webinars
Yes
Live Training (Online)
Yes
In Person
Yes
Vendor Details
Company Name
LexisNexis
Founded
1970
Country
United States
Website
risk.lexisnexis.com/products/provider-integrity-scan
Vendor Details
Company Name
Newgen Software
Founded
1992
Country
United States
Website
newgensoft.com/solutions/industries/healthcare-payer/medicare-enrollment/
Product Features
Product Features
Electronic Medical Records (EMR)
Appointment Management
No
Charting
No
Compliance Tracking
No
E-Prescribing
No
E/M Coding
No
HIPAA Compliant
No
Handwriting Recognition
No
Integrated Telehealth
No
MIPS Certified
No
Meaningful Use Certified
No
ONC-ATCB Certified
No
Patient Portal
No
Self Service Portal
No
Voice Recognition
No