Navigation Links
HMS Awarded Medicaid Audit Contract in South Carolina
Date:4/7/2009

NEW YORK, April 7 /PRNewswire-FirstCall/ -- HMS today announced that it had been awarded a contract for consulting and audit services for Medicaid overpayments from the South Carolina Department of Health and Human Services. The contract is for one year, with two optional renewal years.

HMS will support the State Program Integrity unit in the expansion of South Carolina's Medicaid claims review and recovery audit process, performing post-payment review of Medicaid claims from hospitals and other medical providers in a range of areas, including DRG coding, duplication of services, medical necessity, and various other overpayment issues. HMS will identify the overpayments and provide information to the state to allow for the recovery of the overpayments.

HMS, along with its wholly owned subsidiary, Permedion, has decades of experience working with state Medicaid agencies to target, review, and recover overpayments across the full scope of Medicaid service types. The company targets inappropriate payments using sophisticated data analytics and clinical review staff supplemented by an independent network of more than 400 physicians.

As part of this contract, HMS will work closely with providers in the state to educate them about best practices in coding and billing of Medicaid claims.

About HMS (Nasdaq: HMSY)

HMS is the leader in coordination of benefits and program integrity services for government healthcare programs. The company's clients include health and human services programs in more than 40 states, 90 Medicaid managed care plans, the Centers for Medicare and Medicaid Services (CMS), and Veterans Administration facilities. HMS helps ensure that healthcare claims are paid correctly and by the responsible party. As a result of the company's services, government healthcare programs recover over $1 billion annually, and avoid billions of dollars more in erroneous payments.


'/>"/>
SOURCE HMS
Copyright©2009 PR Newswire.
All rights reserved

Related medicine news :

1. Companion Benefit Alternatives Awarded Silver Honors for Best Practices in Health Plans and Health Networks by URAC
2. Health and Wellness Partners, Inc., a Wholly Owned Subsidiary of Zealous Inc., is Awarded the Exclusive California Distribution Rights for RockHard Weekend!!!
3. Harris Corporation Awarded Follow-on Contract Option to Expand CONNECT Solution for Nationwide Health Information Network
4. Isis Scientist Awarded 2009 Ebert Prize
5. Harris Corporation Awarded $14 Million Contract to Develop Multi-Hospital Military Health System Network with Image-Sharing Capabilities
6. Nonin Medical Awarded a Premier Contract for Its Innovative Oximetry Solutions
7. Hahnemann University Hospital Awarded Certification From the Joint Commission for Ventricular Assist Devices
8. CVS Caremark Awarded Platinum Honors for Best Practices in Consumer Health Improvement by URAC
9. DynaVox Awarded Accreditation by Accreditation Commission for Health Care, Inc.
10. Three Prize Winners Awarded in Elseviers Article 2.0 Contest
11. Carestream Health Awarded Prestigious Shingo Award For Second Consecutive Year
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/17/2017)... ... 2017 , ... Pharmica Consulting attended CHI's 8th Annual SCOPE ... trial planning and management. Pharmica discussed the importance of effective project management, data ... by Pharmica’s booth were able to demo its cloud-based Resource Management Tool, ...
(Date:2/17/2017)... ... February 17, 2017 , ... Like most hospitals across the nation, ... large part by the Hospital Readmission Reduction Program (HRRP), the return of a patient ... for hospitals across the nation. While many providers are struggling to leverage limited resources ...
(Date:2/17/2017)... ... February 17, 2017 , ... Dillon Ruxton Insurance, a Florida-based ... owners in the greater Fort Lauderdale metropolitan region, is embarking on a cooperative ... 30 years, LifeNet 4 Families has provided a broad range of food provision ...
(Date:2/16/2017)... Washington, DC (PRWEB) , ... February 17, 2017 , ... ... Care Excellence (ACE) program, now in development. ACE.P (pediatrics) is being created with the ... in the Care of Vulnerable Populations , ACE.P will address what has been identified ...
(Date:2/16/2017)... ... 2017 , ... Doctors on Liens is proud to announce ... through his work at BKP Chiropractic in Lancaster . After receiving ... Canada’s prestigious International Baccalaureate Program, Dr. Raj went on to open successful orthopedic ...
Breaking Medicine News(10 mins):
(Date:2/16/2017)... -- Prescription pain medications provided by "physicians in the months ... opioid use to take hold," according to a new ... The New England Journal of Medicine (NEJM). ... acute pain than in almost any other medical setting," ... the American College of Emergency Physicians. "The challenge is ...
(Date:2/16/2017)... Research and Markets has announced the addition of the ... Application, Cancer Type, Technology - Forecast to 2025" report to ... ... at a CAGR of around 28.6% over the next decade to ... of the prominent trends that the market is witnessing include increasing ...
(Date:2/16/2017)... Die Stärkung der regulatorischen ... der Medizinproduktebranche oberste Priorität. Während die UDI-Implementierung in ... auf unmittelbar anstehende regulatorische Änderungen auf dem europäischen ... ... Aufsichtsbehörden, Hersteller von Medizintechnik, Gesundheitsversorger ...
Breaking Medicine Technology: