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.
LexisNexis Provider Integrity Scan Alternatives
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Compliance: A technology solution that combines incident reporting, document, and policy management, and highly customizable reports to improve compliance.
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MedRight is a user-friendly, fully supported, cost-effective EHR/eMAR that can be used in senior living communities such as ALFs, and SNFs.
Because of its flexible configuration features, other users include IDDs, and treatment centers). MedRight is HIPAA compliant and ensures patient safety. MedRight is used coast to coast and includes all the features needed to manage any senior living community:
Inventory Tracking
e-Naarcotic Logs
eMAR
Full reporting
Seizure Tracking
Behavior Tracking
Charting
Incident Tracking
Manage Staff and Residents
Assessments
Care Plans
Community Calendar
Resident Calendar
Vital Tracking and Graphing
e-Prescribing
Refusal Log
Text/email notifications
Document Manager
Alerts and Trends
Pharmacy Integration
Ability to work without internet
Standing Orders
email blasts to resident families
Family Portal
CRM specific for your usage
ADL tracking
Wound management
Staff License and Training Management
Dashboard to track Key Performance Indicators (KPI)
Web-based and on the Cloud
We integrate with other health care providers using our API and strongly believe in healthcare interoperability.
Get a demo or try MedRight's free trial.
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LexisNexis InstantID
Expanding your business while adhering to Customer Identification Program (CIP) regulations requires the capability to make timely and insightful choices regarding potential clients. Achieve complete identity verification, detect fraudulent activity, and identify inconsistencies in identities instantly. LexisNexis InstantID serves as a customizable identity verification tool that empowers you to confirm consumer details, facilitating smarter decision-making and maintaining a focus on customer acquisition. For verifying business identities, refer to LexisNexis InstantID Business. By leveraging the vast LexisNexis identity database along with our established scoring and analytical systems, InstantID establishes a robust basis for Know Your Customer (KYC) and Customer Identification Program (CIP) initiatives. With functionality designed to reduce exceptions, enable thorough due diligence, and safeguard against compliance and fraud challenges, InstantID enhances both the customer experience and your overall business success, ensuring that your company remains competitive in a rapidly evolving market. This integrated approach not only streamlines verification processes but also fosters trust and reliability in your customer relationships.
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LexisNexis Voice Biometrics
LexisNexis Voice Biometrics serves as an exceptional authentication solution for organizations and government entities that handle a large number of high-risk transactions, whether conducted remotely or via a call center. Much like a fingerprint, a voice biometric, or "voice print," identifies individuals by analyzing the unique sound, patterns, and rhythm of their voice. This service offers enhanced security for remote, high-risk transactions while maintaining a seamless customer experience. By utilizing LexisNexis® Voice Biometrics, organizations can improve operational security and customer satisfaction while also minimizing costs and risks tied to remote authentication processes. This sophisticated voice biometric authentication system, when integrated with our identity verification solutions, delivers a comprehensive resource for both authenticated enrollment and secure access for repeat users in contact centers. Consequently, businesses can ensure greater reliability in their transaction processes as they adopt this cutting-edge technology.
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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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Product Details
Platforms
Web-Based
Types of Training
Training Docs
Live Training (Online)
Webinars
In Person
Training Videos
Customer Support
Business Hours
Online Support
LexisNexis Provider Integrity Scan Features and Options
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