LexisNexis Provider Integrity Scan 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.
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eMAR
Full reporting
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Assessments
Care Plans
Community Calendar
Resident Calendar
Vital Tracking and Graphing
e-Prescribing
Refusal Log
Text/email notifications
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email blasts to resident families
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Integrations
Company Details
Company:
LexisNexis
Year Founded:
1970
Headquarters:
United States
Website:
risk.lexisnexis.com/products/provider-integrity-scan
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Web-Based
Types of Training
Training Docs
Live Training (Online)
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Online Support
LexisNexis Provider Integrity Scan Features and Options
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