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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
Avoid overspending on last-minute mock site surveys for your Operational Site Visits; instead, consider RegLantern, a cost-effective solution designed to assist your health center program in achieving ongoing HRSA compliance. By utilizing RegLantern, you can prioritize your health center and the well-being of your patients, while our team of HRSA health center program specialists manages your compliance needs. Our platform continuously updates to reflect the latest HRSA compliance requirements, promptly providing education and in-app updates whenever new regulations are introduced. The web-based tools offered by RegLantern are tailored specifically to help health centers uphold HRSA standards without the need for expensive consultants. Best of all, with RegPathway, fulfilling program requirements has never been simpler or more budget-friendly. Additionally, RegLantern provides a complimentary tool for all HRSA health centers, enabling their FQHC Quality Improvement teams to efficiently report UDS outcomes to health center leadership, fostering transparency and accountability in the process. This innovative approach not only streamlines compliance but also enhances the overall effectiveness of health center operations.
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
LexisNexis
Founded
1970
Country
United States
Website
risk.lexisnexis.com/products/provider-integrity-scan
Vendor Details
Company Name
RegLantern
Founded
2017
Country
United States
Website
reglantern.com