Navigation Links
CMS Selects Thomson Reuters to Help Detect Medicaid Fraud in Eight States

ANN ARBOR, Mich., June 5 /PRNewswire-FirstCall/ -- The Centers for Medicare & Medicaid Services (CMS) has selected the Healthcare business of Thomson Reuters (formerly Thomson Healthcare) to provide data analysis services to detect potential fraud and waste in the Medicaid program.

Thomson Reuters was awarded a task order to help identify inappropriate and unnecessary Medicaid payments pursuant to the federal Medicaid Integrity Program (MIP).

The MIP was created as a result of the federal Deficit Reduction Act of 2005, a law that became effective in February 2006. Through the MIP, Congress specifically charged the U.S. Department of Health & Human Services with combating Medicaid provider fraud and waste through reviews and audits. CMS' Medicaid Integrity Group, in Baltimore, is the component that oversees the MIP.

The task order was awarded to Thomson Reuters following a competitive procurement process. The task order covers the CMS' Atlanta Region, which includes Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, and Tennessee. These eight states have approximately 9 million Medicaid recipients.

Thomson Reuters will analyze Medicaid claims data from the Atlanta Region in order to identify aberrant Medicaid billing patterns and providers that have submitted claims that have resulted in inappropriate Medicaid payments. CMS Medicaid Integrity Group then will have audit contractors conduct post-payment provider audits and, where appropriate, identify Medicaid overpayments.

The Healthcare business of Thomson Reuters has extensive experience providing Medicaid decision support solutions -- including data management, mining, and analysis -- and using these capabilities to detect fraud and waste. The company currently supports 17 state Medicaid agencies, CMS' One Program Integrity, and other government programs.

"We are excited about providing our best-in-class data analysis capabilities to assist CMS with their program integrity activities," said Jon Newpol, Thomson Reuters executive vice president. "We are confident our abilities will help CMS meet their program objectives."

About Thomson Reuters

The Healthcare business of Thomson Reuters produces insights, information, benchmarks and analysis that enable organizations to manage costs, improve performance and enhance the quality of healthcare. Thomson Reuters is the world's leading source of intelligent information for businesses and professionals. We combine industry expertise with innovative technology to deliver critical information to leading decision makers in the financial, legal, tax and accounting, scientific, healthcare and media markets, powered by the world's most trusted news organization. With headquarters in New York and major operations in London and Eagan, Minnesota, Thomson Reuters employs more than 50,000 people in 93 countries. Thomson Reuters shares are listed on the New York Stock Exchange (NYSE: TRI); Toronto Stock Exchange (TSX: TRI); London Stock Exchange (LSE: TRIL); and Nasdaq (NASDAQ: TRIN). For more information, go to .

SOURCE Thomson Reuters
Copyright©2008 PR Newswire.
All rights reserved

Related medicine news :

1. Rush-Copley Medical Center Selects Allscripts Electronic Health Record and Practice Management Solution
2. US Air Force Medical Service Selects Shipcom Wireless for Major Healthcare RFID Contract
3. EDS Selects Edifecs Healthcare Accelerator Suite for Claims Processing Solution
4. The National Association of School Nurses selects SAGE to publish its journal
5. The Heart Center Selects Allscripts Electronic Health Record and Practice Management for 50 Physicians
6. The Heritage Group Selects AccuNurse(R) to Improve Efficiency and Deliver Proactive Care
7. FFF Enterprises Selects A10 Networks AX Series Advanced Traffic Manager
8. Choice Hotels Selects PAI as Qualified Vendor to Offer Health Benefits to Part-Time, Hourly Workers in Its Franchisee Base
9. Golden State Medical Supply Selects IBM Technology to Comply With California Prescription Drug Pedigree Regulations
10. Alliance for Wellness ROI, Inc. Selects VitalSpring as Exclusive Technology Partner
11. MedPage Today(R) Selects iSEEK(TM) to Improve Quality of Patient Care
Post Your Comments:
(Date:10/13/2017)... ... , ... Talented host, actor Rob Lowe, is introducing a ... episode of "Success Files," which is an award-winning educational program broadcasted on PBS ... in-depth with passion and integrity. , Sciatica occurs when the sciatic nerve in ...
(Date:10/13/2017)... ... October 13, 2017 , ... “The Journey: From the Mountains to the Mission ... lost souls in the Philippines. “The Journey: From the Mountains to the Mission Field” ... the Bible. She has taught all ages and currently teaches a class of ladies ...
(Date:10/12/2017)... ... October 12, 2017 , ... First Healthcare ... program management, will showcase a range of technology and learning solutions at the ... Convention and Expo to be held October 14–18, 2017 at the Mandalay Bay ...
(Date:10/12/2017)... ... , ... Planet Fitness, one of the largest and fastest growing franchisors and ... flagship location in Covington, LA at 401 N. U.S. Highway 190, in January of ... Depot in the Holiday Square shopping center. Its location allows it to serve both ...
(Date:10/12/2017)... ... 2017 , ... IsoComforter, Inc. ( ), one of the ... new design of the shoulder pad. The shoulder pad provides optimal support and ... pain while using cold therapy. By utilizing ice and water that is circulated from ...
Breaking Medicine News(10 mins):
(Date:10/2/2017)... Halo Labs announces the European launch of their new low volume, ... 2017 in Cambridge, U.K on October 4th. ... samples with unprecedented speed and sensitivity while using far less sample ... ... system ...
(Date:9/27/2017)... YORK , Sept. 27, 2017  DarioHealth Corp. (NASDAQ: DRIO), a ... today announced that its MyDario product is expected to appear on The ... when The Dr. Oz Show airs in your area: ... The nine-time Emmy award-winning, The Dr. Oz ... The ...
(Date:9/22/2017)... 22, 2017 AVACEN Medical (AVACEN) announced that ... successfully helping those with the widespread pain associated with ... Amanda in Essex, England commented, ... hair, experiencing no sleep at all, tremendous pain, with ... cannot recommend [the AVACEN 100] enough, how this has ...
Breaking Medicine Technology: