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Verisys and Government Entities


Meet and Exceed Federal and State Requirements

Provider and Entity Population Management Solutions serving Medicare, Medicaid and other programs in each state and at the federal level.

  • Meet federal and state requirements in developing and maintaining a provider and entity population management system which includes, but is not limited to, credentialing, screening, monitoring and enrollment
  • Support the National Fraud Prevention Program (NFPP); 2 42 CFR Part 438, Subpart H; 42 CFR Part 455, Subparts B & E.
  • Comply with CMS ACA3 provider screening, enrollment and management requirements
  • Integrate into the State’s Enterprise Architecture
  • Comply with MITA 3.0 standards
  • Re-enroll all providers and entity population currently enrolled in both Fee-for-Service and Managed Care Entities
  • Automate provider and entity population enrollment
  • Automate provider and entity population supplier screening for CMS and Federal opportunities
  • Proactively identify fraud, waste and abuse through risk based alerts

How We Do It

Technology: Our technology accesses and transforms thousands of raw and disparate data sets into a usable format that our customers can consume for actionable results.

Data Platform + Matching Logic: We provide a 360° View of a provider with our data platform of over 320 Million records. We access, transform, and match each piece of data to the right provider/entity with 99.6% accuracy.

Software: Our SaaS based solutions and real time transaction engines provide our users with customizable and verified data to match their workflow and processes.

Services: We follow FCRA and act as a consumer reporting agency. We interface directly with providers on behalf of our customers to handle provider disputes and adverse event reporting.

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