Case Study

CMS Program Integrity Assessment

CMS Program Integrity Assessment

CMS Program Integrity Assessment changehealthcare.com/solutions/consulting-services 855.552.7690 © 2020 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. Inspiring a Better Healthcare System Change Healthcare Consulting Challenges The Team discovered a variety of opportunities for improvement in areas that were producing a lack of efficiency, profit losses, and additional work for team members, including: • Inter-departmental reporting misalignment • Missing high-dollar opportunities • Current results below industry reporting standards • Failure to identify pharmacy claim(s) along with other areas of opportunities This customer struggled with lower recovery rates due to departmental disparity with their Payment Integrity Program(s). The

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