Latest Post

How to Improve Consumer Perceptions of Care Quality and Experience

By Ellen Harrison, RN, MBA
Dec. 10, 2018

Read Now

Blog Posts

How Will Medicaid Work Requirements Impact Churn and Member Retention?Jan. 26, 2018

CMS’ recent guidance to State Medicaid Directors on work requirements for non-disabled, non-pregnant adults was anticipated to those of us…

The Quick-start Guide to Selecting the Best Third Party Liability Vendor

The Quick-Start Guide to Selecting the Best Medicaid Third Party Liability VendorAug. 10, 2016

  Selecting the right Medicaid third party liability (TPL) vendor matters. Why? Because if you pick the wrong one –…

Two-midnight Rule

The Two-midnight Rule: Payments, Provisions and ProcessesApr. 28, 2016

After a decision by a Federal District Court in September 2015, the Centers for Medicare and Medicaid Services (CMS) announced…

Medicaid Data Access Expansion

Proposed Rule: Medicare Data Access ExpansionApr. 22, 2016

  HMS, provider of the broadest range of cost containment solutions for payers in the healthcare industry, recently provided comments…

State Clinical Claim ReviewApr. 19, 2016

Avoid Errors and Prevent Inappropriate Payments. Use medical records to identify improper billing and prevent paying for erroneous claims with…

Seven ways new MCO rules will boost data sharing

Seven Ways New MCO Rules Will Boost Data SharingMar. 24, 2016

  This spring, the Centers for Medicare and Medicaid Services (CMS) will publish its final rule updating the regulatory framework…

Your Details

Please enter your details to access this resource.