Savings through Safety

The MedMonitored™ Badge, a healthcare professional certification monitoring program, provides recognizable quality assurance for patients, indicating the credentials of the listed
providers are continuously monitored ensuring that privileges and licenses are active. Too often provider information can be inaccurate or outdated and the consequences can be devastating when providers with background issues are not identified timely. The MedMonitored™ Badge certifies that provider credentials and directories are monitored continuously. When members see the Badge they have the security of knowing that their provider has been recently and continuously checked for license programs, sanctions, and other issues.

Health care fraud is a $220 billion a year problem. ClaimGard™ is a common sense approach to combating healthcare fraud. Claims are submitted for services that are provided by providers of all types. Some of these providers have lost or never had a license to provide services and some of these providers have expired licenses or other license, DEA, or federal sanction issues. It has been estimated that 10% of all health care providers have significant credentialing issues. Because current provider data standards are not continuous and not integrated into claim systems there are huge exposures to claim payer. ClaimGard™ protects payers by providing verified provider information to the claim process based on a date of service or date of payment. It ensures claim systems are flexible to provider data changes as they occur. The result, payers save billions in erroneous payments and patient care improves.

One Record, One Platform, OneSource

All healthcare organizations verify the same provider information according to standards from JCAHO, URAC, NCQA, and AAHC. OneSource is a digital constantly monitored provider record maintained with verified accurate information, updated automatically and easily accessed by those who need it 24/7 from anywhere in the world. This seamless credentialing and provider data management service replaces manual verification processes and provides continuous surveillance of important provider credentials. OneSource is a continuous credentialing solution that is 72X more efficient than current credentialing models because it uses technology to capture provider changes as they occur with automatic notification of any change to the subscriber. Current credentialing processes are every two to three years and that inefficiency increases cost and exposure to every single health care operation. OneSource is guaranteed to increase the effectiveness of any credentialing operation for less than conventional credentialing models.
OneSource is:

•   Superior Technology Foundation
•   Continuous Verification
•   Shared Database
•   Least Cost Alternative
•   24/7 access to data and functionality

There is no Substitute for Experience

Over the years our solutions have given us the opportunity to integrate into many different IT environments. We have excelled at integrating into Legacy, HR, Payroll, EMR, and other web based architecture. Our developers work on the latest .net platform and are well versed in healthcare functional processes. Whether you are looking to drive cost reduction and improve performance, optimize processes, or gain new customer insights, our IT Services offer a broad range of capabilities that enhance and streamline business processes and functions. We create, implement and operate enterprise solutions designed to deliver rapid returns on investment and tangible, long-term benefits.

Global Resources

Medversant worldwide IT team has vast resources to provide the right skills, knowledge and abilities to projects wherever situated. No project or integration scope is too large.