Poor Record Retrieval Silently Undermines Quality Program Performance: Lost Incentive Dollars Today and Increasing Clawback Exposure Tomorrow
By Jeannie Hennum, General Manager of Value-Based Care at Verisma May 7, 2026 Healthcare is in the middle of a seismic shift. The old fee-for-service model – where providers are paid for every test, visit and procedure – is giving way to something more intentional:...
Poor Record Retrieval Silently Undermines Quality Program Performance: Lost Incentive Dollars Today and Increasing Clawback Exposure Tomorrow
Healthcare is in the middle of a seismic shift. The old fee-for-service model – where providers are paid for every test, visit and procedure – is giving way to something more intentional: value-based care (VBC).
Sign up to receive updates
Join our mailing list to be notified as new events and updates become available.
AI, Regulation, and the Future of Health Information
The proposed HTI-5 rule from the Office of the National Coordinator for Health IT reduces regulatory burden while shifting responsibility to healthcare organizations to manage AI risks and compliance. Guidance from the American Hospital Association underscores that strong governance, transparency, and human oversight are essential for responsible AI adoption.
Accelerating AI Model Training with Synthetic Data
Healthcare AI adoption is often slowed by concerns around data privacy, regulatory risk and lack of transparency, particularly when models rely on sensitive patient data. Verisma addresses this by training its AI entirely on synthetic data.
Healthcare Data at an Inflection Point: What CHIME25 Revealed about AI Maturity and the Path Forward
Rising costs, regulatory pressure, and fragmented data governance are stalling AI adoption in healthcare—making strategic AI governance a defining competitive advantage.
Streamlining Health Information for Enhanced Patient Care and Compliance
CCRM Fertility, a global leader in reproductive medicine, partnered with Verisma to streamline its release of information process. By automating record fulfillment, CCRM reduced administrative burden, improved turnaround times, and enhanced the patient experience.
Bringing Health Information Management to the Archiving Table
Health Information Management (HIM) professionals play a critical role in archiving legacy systems. Their expertise ensures metadata is preserved, records remain accessible, and compliance risks are minimized—safeguarding both patient care and organizational integrity.
AI in HIM: A Prescription for Success
Verisma’s AI solution suite combines intelligent automation with human oversight to improve speed, quality, and regulatory compliance – without removing HIM professionals from sensitive decisions.
Attestation Requirement Update: Does it Apply to All Organizations?
Last month there was a judgment issued in the Purl v. Department of Health and Human Services (HHS) case giving a definitive answer whether we need to continue with the 2024 Privacy Rule and its attestation process.
11 KPIs for Measuring Health Information Management Department Success
Health information management professionals are critical to their organization’s overall health. Here are seven ways they can enhance their impact.
Preparing for RADV Audits: Key Considerations for Health Plans
RADV audits are important to the entire healthcare system – safeguarding the accuracy and integrity of health plan data, and the effort is part of the federal government’s effort to remove fraud, waste and abuse (FWA) in Medicare Advantage (MA) programs.
Preparing for Risk Adjustment Data Validation (RADV) Audits
The Centers for Medicare and Medicaid Services (CMS) announced an initiative late last month to rapidly complete outstanding Risk Adjustment Data Validation (RADV) audits while expanding the parameters of new RADV audits by September 1.