Denial Prevention’s Next Frontier: Centralizing Intake, Documentation Intelligence, and Patient Identity Integrity
By Stephanie Lavoie, VP of Operations at Verisma and Steven Du Bois, Director of Operations at Verisma June 3, 2026 Every year, clinical and administrative teams spend thousands of hours chasing, appealing and resubmitting denied claims. But for most health systems,...
Denial Prevention’s Next Frontier: Centralizing Intake, Documentation Intelligence, and Patient Identity Integrity
Health systems are losing millions annually to preventable claim denials – not because of bad clinical care, because of fragmented data, siloed workflows, and reactive processes addressing symptoms instead of root causes.
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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.
Protecting Patient Privacy: My Florida Senate Bill 1606 Testimony
Elizabeth had the opportunity to appear before a Florida State Senate committee to share a personal story pulled from her 20 years as a health information professional – emphasizing the importance of protecting patient privacy and opposing SB 1606 as written.
7 Ways Health Information Management Professionals Can Enhance Their Impact
Health information management professionals are critical to their organization’s overall health. Here are seven ways they can enhance their impact.
Celebrating Autism Awareness Month and Its Impact on Patient Privacy
Elizabeth opens up about her own personal journey with autism and how it impacts patient privacy in honor of Autism Awareness Month.
Mitigating Compliance Risk: HIPAA Unauthorized Disclosures Process
Don’t have a compliance team? Not sure what steps and procedures define your processes for HIPAA unauthorized disclosures? Read on for recommendations and best practices for mitigating compliance risk.
How Do I Fulfill Continuity of Care Requests?
When a patient moves between healthcare providers, their medical information and records often need to follow. But when sharing records with another facility for treatment purposes, what and how much should you disclose?
Working With a Healthcare-Focused Data Migration Services Provider
By Olah, a Verisma Company October 31, 2024While there’s no shortage of vendors who can help you migrate data, many aren’t well-versed in the complexity and regulatory requirements of handling health data. Yet, inaccurate or incomplete data has a profound, long-term...
Data Conversion: A Vital Building Block in Healthcare Data Migration
By Olah, a Verisma Company October 29, 2024Ask a layperson what healthcare data migration is, and they'll likely say something like “moving data from one location [or source] to another.” But exactly how (and where) that data moves is more nuanced. For example, if you...