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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
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