+
+

Related Products

  • MedTrainer
    241 Ratings
    Visit Website
  • MedRight
    22 Ratings
    Visit Website
  • ManageEngine EventLog Analyzer
    203 Ratings
    Visit Website
  • CredentialStream
    161 Ratings
    Visit Website
  • Famly
    324 Ratings
    Visit Website
  • MLM Soft
    17 Ratings
    Visit Website
  • Gradelink SIS
    908 Ratings
    Visit Website
  • D&B Risk Analytics
    80 Ratings
    Visit Website
  • Bitdefender Ultimate Small Business Security
    3 Ratings
    Visit Website
  • Criminal IP ASM
    18 Ratings
    Visit Website

About

To prevent the risk, Centers for Medicare and Medicaid Services (CMS) has established requirements to validate their networks. As Pharmacy Benefit Managers (PBMs) bear the brunt of this risk assessment, the need for accurate, actionable information has never been greater. LexisNexis Provider Integrity Scan automates a variety of provider verification searches and ongoing monitoring options by checking against multiple files and lists and provides automatic red flag alerts for a wide range of high-risk indicators. It has the capability of screening and verifying pre-enrollment as well as monitoring post-enrollment to detect and prevent criminal activity. LexisNexis Provider Integrity Scan is designed to help reduce health care payers' and PBM's costs by identifying potentially fraudulent providers and businesses enrolled or attempting to enroll in health-related programs. Our solution gives users the ability to efficiently process multiple searches and obtain critical information.

About

Our Provider Enrollment and Credentialing services enable practice providers to get and remain enrolled for the services they provide by ensuring that payers have the data they need to process claims for the services you provide. New Provider Enrollment. Establish relationships with new or missing payers to optimize revenue opportunities. Re-credentialing. Commercial payers and hospital applications. Annual Maintenance. CAQH Maintenance and Attestation, re-validations for Medicaid and Medicaid, Expirables: DEA, License, Malpractice, etc. Expert Credentialing Services For Healthcare Physicians Trying to manage and understand the required credentialing for your health center can be time-consuming, and take up valuable staff resources. As a full service revenue cycle management company we understand the impact provider credentialing can have on your cash flow. Our provider credentialing service includes options for new and existing providers.

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Audience

Businesses searching for a solution to reduce risk and prevent fraud

Audience

For community health centers and FQHCs in need of a revenue cycle management program

Support

Phone Support
24/7 Live Support
Online

Support

Phone Support
24/7 Live Support
Online

API

Offers API

API

Offers API

Screenshots and Videos

Screenshots and Videos

Pricing

No information available.
Free Version
Free Trial

Pricing

No information available.
Free Version
Free Trial

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

Training

Documentation
Webinars
Live Online
In Person

Training

Documentation
Webinars
Live Online
In Person

Company Information

LexisNexis
Founded: 1970
United States
risk.lexisnexis.com/products/provider-integrity-scan

Company Information

Visualutions
Founded: 1996
United States
www.visualutions.com

Alternatives

Alternatives

LexID

LexID

LexisNexis
CredentialMyDoc

CredentialMyDoc

HealthStream

Categories

Categories

Medical Practice Management Features

Claims Management
E-Prescribing
EMR / EHR
HIPAA Compliant
Insurance Eligibility Verification
Inventory Management
Multi-Office
Multi-Physician
Patient Billing
Patient Portal
Patient Records
Patient Registration
Patient Scheduling
Physician Scheduling

Integrations

XML

Integrations

XML
Claim LexisNexis Provider Integrity Scan and update features and information
Claim LexisNexis Provider Integrity Scan and update features and information
Claim Provider Credentialing and update features and information
Claim Provider Credentialing and update features and information