Program Integrity - Data Mining for Errors, Fraud & Abuse

Data Mining imageIn Financial Review/Audit projects, our national team of audit and reimbursement specialists target and identify inappropriate, duplicate, and excess billing that results in credit balances and overpayments to providers. Financial review staff leverage our clinical staff as necessary

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We’re focused on TPL. Today, HMS offers best practices across the spectrum of Cost Containment. Our R&D and Corporate Development functions are dedicated to TPL-specific cost containment processes and technology. We’re not an MMIS vendor and we’re not a transaction-based company.