HMS, a wholly owned subsidiary of HMS Holdings Corp. (NASDAQ: HMSY), announced today the rollout of its integrated suite of payment integrity solutions for commercial and government payers, HMS IntegritySource
. HMS will fully unveil HMS IntegritySource at the annual conference of the National Association for Medicaid Program Integrity (NAMPI) in Baltimore, Md., from Aug. 18 to Aug. 21.
HMS IntegritySource aims to deliver on the promise of “one data source, many solutions” for commercial and government payers. Key components include fraud, waste, and abuse identification and prevention; clinical program services; provider screening; automated and complex clinical reviews; financial audits; and Medicaid Recovery Audit Contractor (RAC) services.
“We’re excited to bring an integrated solution to healthcare payers,” said Christina Dragonetti, HMS Chief Development Officer. “HMS IntegritySource represents a significant step forward in providing a one-stop shop for payment integrity solutions for commercial and government payers.”
HMS IntegritySource includes advances in key components of program integrity. For instance, HMS’s fraud, waste, and abuse portal now allows payers to identify at-risk providers through provider scorecards, and to launch and track investigations directly from their desktops. Enhancements utilized by commercial insurers, such as provider targeting, now allow government payers to improve their claims payment accuracy, boosting net return on investment from 3 to 1 to 10 to 1. HMS also recently teamed with partners Digital Harbor and Health Market Science to introduce Know Your Provider, a new solution that helps payers meet Affordable Care Act requirements to screen and monitor providers.
Learn more about HMS IntegritySource at NAMPI or on
powers healthcare with integrity through
coordination of benefits
. HMS's clients include
health and human services programs
in more than 40 states; commercial programs, including
, and more than 135
plans; the Centers for Medicare and Medicaid Services (CMS); and
facilities. As a result of the company's services, clients recovered more than $3.2 billion last year and saved billions more through the prevention of erroneous payments.