Lead Management

Get targets through your investigative pipeline.

A key part of HMS’s Fraud Solutions product, Lead Management allows investigators to more efficiently triage case targets, whether identified by our Guided Analytics or another source. Document relevant issues and coordinate case target analyses to ensure timely resolution. The module integrates smoothly with Case Management so you and can easily work each project to a successful conclusion.

Leveraging the analytics findings throughout the Payment Integrity Portal, Lead Management covers both high-risk providers and patients. The tool compiles information related to the target using all available data and supporting documents, and presents findings in an accessible dashboard. Consider the dashboard your customized action plan for the day.

Lead Management features include:

  • Centralized lead generation dashboard for patient and provider leads across multiple investigators
  • Vital statistics for each lead, such as current status and financials
  • Documentation of lead source, including ability to include attachments
  • Integration with other Fraud Solutions modules

Our new custom watch feature shows when claims demonstrate suspect behaviors, based on providers, dollars, codes, and more. Setting up watches is a snap with our watch wizard.

Don’t want to monitor the watch section of the portal?

No problem. Our new alerts feature will tell you when your watches yield hits automatically via email.

Fill out the Contact form to learn more about Lead Management.

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