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What is LexisNexis Provider Integrity Scan?

In order to address potential risks, the Centers for Medicare and Medicaid Services (CMS) have established guidelines aimed at validating their networks. The significant influence of risk assessment processes on Pharmacy Benefit Managers (PBMs) has led to an unprecedented demand for accurate and actionable insights. The LexisNexis Provider Integrity Scan simplifies a variety of provider verification tasks and maintains continuous oversight by cross-referencing a multitude of files and lists, while additionally providing automatic notifications for various high-risk indicators. This tool excels in screening and validating providers both prior to and after enrollment, effectively working to detect and prevent criminal activities in the sector. By identifying potentially fraudulent providers and entities associated with health programs, the LexisNexis Provider Integrity Scan contributes to cost reduction for health care payers and PBMs. Furthermore, our cutting-edge solution enables users to perform multiple searches and access vital information, thereby improving their operational efficiency and security. This comprehensive strategy not only protects the integrity of health care programs but also cultivates a more trustworthy healthcare landscape, ultimately benefiting patients and providers alike.

What is LexisNexis Health Intelligence?

LexisNexis' Health Intelligence EHR solution combines advanced data analytics with Electronic Health Record systems to help healthcare providers deliver enhanced care and improve operational efficiency. The platform enables real-time access to patient data, offering actionable insights that support informed decision-making and optimize clinical workflows. It also ensures compliance with regulatory requirements, while helping healthcare organizations reduce costs and improve overall patient outcomes. With its ability to integrate with existing EHR systems, this solution is ideal for organizations looking to enhance both their clinical and administrative capabilities.

Media

Media

Integrations Supported

XML

Integrations Supported

API Availability

API Availability

Has API

Pricing Information

Pricing not provided

Pricing Information

Pricing not provided

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Standard Support
Web-Based Support

Customer Service / Support

Standard Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
On-Site Training

Company Facts

Organization Name

LexisNexis

Date Founded

1970

Company Location

United States

Company Website

risk.lexisnexis.com/products/provider-integrity-scan

Company Facts

Organization Name

LexisNexis

Date Founded

1970

Company Location

United States

Company Website

risk.lexisnexis.com/products/health-intelligence-ehr

Categories and Features

Healthcare Compliance

Not specified

Categories and Features

Electronic Medical Records (EMR)

HIPAA Compliant
Patient Portal

Healthcare APIs

Not specified

Patient Engagement

Patient Portal

Patient Portal

Not specified

Unified APIs

Not specified

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