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Description

Consensus Signal offers instantaneous notifications for health events, ensuring that providers and care teams are connected no matter where patients are being treated. In collaboration with Secure Exchange Solutions, a top-tier event alerting provider, we enhance our reach across electronic health records (EHRs) and provide access to a comprehensive national directory for easily identifying the appropriate healthcare provider for each individual. This partnership allows us to send alerts directly into the workflows of healthcare providers' EHR systems without the need for expensive interface setups. Additionally, there’s no requirement to upload patient lists or even possess an EHR, as we can seamlessly deliver user-friendly alerts directly to existing email platforms. With the introduction of the new Conditions of Participation (CoPs), compliance for hospitals participating in Medicare and Medicaid is now mandatory, which includes psychiatric hospitals and Critical Access Hospitals (CAHs), and requires these institutions to electronically notify primary care providers about patients’ admissions, discharges, or transfers. As a result, this system not only streamlines communication but also enhances patient care coordination across various healthcare settings.

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.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

XML

Integrations

XML

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

Consensus Cloud Solutions

Country

United States

Website

www.consensus.com/signal/

Vendor Details

Company Name

LexisNexis

Founded

1970

Country

United States

Website

risk.lexisnexis.com/products/provider-integrity-scan

Product Features

Product Features

Alternatives

Alternatives

Consensus Signal Reviews

Consensus Signal

Consensus Cloud Solutions