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Program Integrity
HMS IntegritySource—our integrated suite of program integrity solutions—creates measurable value at every point in the payment cycle for healthcare payers.
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Coordination
of BenefitsHMS’s proven data mining techniques help locate valid other coverage for plan beneficiaries to assist payers in accurately coordinating payments and pursuing recoveries where claims were paid inappropriately.
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Eligibility
Whether it’s dependent eligibility verification audits for employers or enhanced eligibility verification for state Medicaid agencies, HMS can help reduce costs and find overpayments.
From Our Blogs
- Progressive Employers Practice “Active” Benefits Enrollment: EmployerAudits Blog March 4, 2015
- Providers Take Up RAC Battle at the State Level: HMS Blog March 3, 2015
- How Employer Size Can Cost Medicare Advantage Plans: HMS Blog March 2, 2015
- Is Your State Ready for Medicaid Asset Verification?: HMS Blog February 23, 2015
- HMS Breaks Down the PRIME Act: HMS Blog February 12, 2015
- Utilization Management: 14% Today. How High Tomorrow?: HMS Blog February 11, 2015