LexisNexis® Presents New Health Care Fraud Prevention Model
at HIMSS11 in Orlando
February 16, 2011 — New York, NY – LexisNexis®, a leading provider of legal and risk management solutions, will showcase a new model for incorporating fraud risk control and identity management tools into the health care workflow at the 2011 Annual HIMSS Conference & Exhibition Feb. 20-24 in Orlando, Florida. In addition, the company will deliver several sessions which will educate stakeholders across the health care continuum on new methods and solutions that help detect and prevent fraud, waste and abuse.
The Risk Solutions business unit of LexisNexis will also debut a new product – LexisNexis® Health Care Credentialing. It is the duty and responsibility of health care organizations to do everything possible to ensure and protect patient safety and privacy while providing quality health care. The first step towards this goal is to ensure that all employees with direct and indirect access to patients and their personal information are well-vetted. LexisNexis Health Care Credentialing enables health care organizations to do just that – confirm that every employee is who they say they are – by verifying the information provided by prospective and current employees, such as their education and professional background, licenses and certifications. The ability to provide quality health care begins with the ability to quickly, confidently identify and hire the most qualified employees.
LexisNexis (booth 1425) offers the industry a comprehensive portfolio of health care solutions including identity proofing and user authentication, data linking, and predictive analytics; all of which help health care providers, patients and payers address the challenges posed by medical identity theft and health care fraud. LexisNexis Risk Solutions will present the following sessions at HIMSS11:
- Stopping Fraud Before It Happens: Sophisticated schemes require sophisticated technologies – Monday, February 21, 2011, 2:30 p.m. - 3:15 p.m.
This session will focus on a fundamentally new and unique model for incorporating fraud risk control by implementing predictive analytics and identity management at the front end of the business workflow.
- How to Avoid a Credentialing Conundrum – Tuesday, February 22, 2011, 12:00 p.m. - 12:45 p.m.
Initial and on-going credentialing is a challenge for many healthcare organizations. This session will discuss the current costs of credentialing noncompliance and how the LexisNexis® Health Care Credentialing portal can provide insight into accurate record keeping, allow faster access to additional background information and help organizations maintain a properly credentialed workforce.
- Implementing a New Model of Upfront Fraud Risk Control – Tuesday, February 22 at 1 p.m. in Room 307 A
Learn about a fundamentally new and unique model for incorporating fraud risk control by implementing predictive analytics and identity management at the front end of the business workflow.
"LexisNexis is expanding its health care solution portfolio, working with payers and providers, to offer solutions that identify and prevent fraud by implementing predictive analytics and identity management at the front end of the business workflow," said Harry Jordan, vice president of health care for LexisNexis."We are excited to be presenting our ideas and solutions to other members of the health care industry and we are excited to see what our colleagues are working on as well."
Medical identity theft and health care fraud are a significant burden on the United States health care system with industry reports showing the annual cost of fraud in the U.S. estimated to be between $60 and $200 billion. Compliance with health care reform legislation, electronic medical record (EMR) adoption and the rise of health information exchanges (HIEs) represent additional challenges for health care organizations. LexisNexis is applying its information solutions and data expertise to provide the health care industry with comprehensive identity management solutions that help health care providers, patients and payers identify and eliminate fraud at the beginning of the health care cycle, before care is given.
LexisNexis® (www.lexisnexis.com) is a leading global provider of content-enabled workflow solutions designed specifically for professionals in the legal, risk management, corporate, government, law enforcement, accounting, and academic markets. LexisNexis originally pioneered online information with its Lexis® and Nexis® services. A member of Reed Elsevier [NYSE: ENL; NYSE: RUK] (www.reedelsevier.com), LexisNexis serves customers in more than 100 countries with 15,000 employees worldwide.
About LexisNexis Risk Solutions
LexisNexis® Risk Solutions is the leader in providing essential information that helps advance industry and society. Building on the legacy of proven LexisNexis® services from the past 35 years, our cutting-edge technology, unique data and advanced scoring analytics provide total solutions that address evolving client needs in the risk sector while upholding high standards of security and privacy. LexisNexis Risk Solutions serves commercial organizations and government agencies and is comprised of several affiliated corporations, each offering premier customer-focused solutions. For more information, visit www.lexisnexis.com/risk/.