Choose PRIME for Improved Provider Data Quality
A CMS study found that when Health Plans obtain information directly from the providers, the accuracy of the data improves. PRIME offers a provider data validation solution that works on a direct outreach model and simplifies the complex and time-consuming task of managing and maintaining provider data accuracy.
Our end-to-end processes collect and authenticate the provider data maintained by Health Plans which helps them avoid compliance issues and penalties associated with inaccurate data. We do this by using various outreach channels of communication designed to accommodate a Health Plan’s unique network of providers.
Our provider data accuracy solutions for Health Plans include:
- Provider validation services that offer superior data quality and results including 100% outreach completion and over 95% validation data quality.
- Pre-validated provider data that lets you stay updated with instant access to validated provider records.
- CMS mock audit preparation that gives your organization the results it needs to identify data weaknesses and potential compliance violations.
- CMS-mandated print-ready provider directories for patients aged 65 years and older. Our accessibility directories provide all users equal access to information and functionality.
PRIME’s technology relies on data analytics and enrichment as well as machine learning to deliver provider data quality at a reduced total cost of ownership when compared to alternative services. Our market-defining data validation solution seamlessly integrates with existing Provider Data Management Systems to provide accuracy levels up to 98%.
If your organization is looking for a way to simplify and improve provider data quality, PRIME’s data validation process offers the high-quality services you need.
To learn more about how PRIME healthcare provider data accuracy solutions can help your organization effectively, efficiently, and accurately manage your provider data, contact us today.