Program Integrity - Data Mining for Errors, Fraud & Abuse

handcuffsOur team of RNs, Certified Coders, Certified Fraud Examiners, and experienced investigative staff leverages tools and techniques to detect and prevent fraud. We develop a case, perform detailed claims analysis, coordinate with law enforcement agencies, and support the cases through prosecution.

Did you know ... ?

CMS recently selected HMS as a Medicaid Integrity audit contractor under the Medicaid Integrity Program.