How Looking Deeper Helped HMS Improve an MCO’s Improper Payment Prevention System

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Overview In 2011, a large Medicaid and Medicare managed care organization in several states with more than 2.5 million members wanted to further enhance its improper payment prevention system. Though the in-house claim system flagged issues, the company knew there was room for improvement. They turned to HMS for assistance to pursue recoveries and to provide a case management system for their Special Investigations Unit (SIU). Starting wi

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How Looking Deeper Helped HMS Improve an MCO’s Improper Payment Prevention System

How Looking Deeper Helped HMS Improve an MCO’s Improper Payment Prevention System

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