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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
eQstats is a worldwide software development firm that offers sophisticated yet user-friendly systems designed for large and complex organizations, allowing them to effectively oversee their quality and risk-related data. By utilizing automated reporting, integrated data, measurement tools, and compliance solutions, eQstats ensures that the processes for accreditation and certification are devoid of risk, aligning with the compliance standards selected by your organization. This comprehensive solution is tailored to governance, risk, and compliance, and eQstats software enhances efficiency in the healthcare sector, ultimately leading to improved patient outcomes. Beyond merely generating data, eQstats interprets this information, functioning as a data analyst by providing users with insights that add context to the data. In addition, eQstats produces thorough results reports that encompass both the data interpretation and a comparison of your organization’s performance against internal or external digital benchmarks among industry competitors, ensuring that you have a complete understanding of your standing. With its innovative approach, eQstats empowers organizations to navigate the complexities of compliance and risk management with confidence.
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
Magentus
Founded
1993
Country
Australia
Website
www.magentus.com/patient-safety/eqstats/