, a wholly owned subsidiary of
HMS Holdings Corp.
(NASDAQ:HMSY), announced today that it has been awarded a contract by the Commonwealth of Virginia, Department of Medical Assistance Services (DMAS), to provide a customized Medicaid Fraud and Abuse Detection System to detect
fraud, waste, and abuse
through data modeling algorithms that analyze claims and provider behavior.
The contract runs for one year and includes two one-year renewal options.
has combined a number of our
core competencies into a single, customized, state-of-the-art fraud and abuse detection system for Virginia. We value the opportunity to work with the Commonwealth to help maximize the integrity and efficiency of its Medicaid program,” said Maria Perrin,
's Chief Business Officer.
cost containment services
to DMAS since 1987. This contract represents
’s first fraud and abuse engagement with the Commonwealth.
is the nation's leader in
coordination of benefits
services for healthcare payers.
's clients include
health and human services programs
in more than 40 states; commercial programs, including
, and over 135
Medicaid managed care plans
; the Centers for Medicare and Medicaid Services (CMS); and
Veterans Administration facilities
. As a result of the company's services, clients recovered over $2.5 billion in 2011, and saved nearly $7 billion through the prevention of erroneous payments.