New Mexico Selects HMS to Manage Quality Assurance Module for its Medicaid Modernization Effort
The QA module includes program integrity; third-party liability (TPL) detection, avoidance and recovery; fraud abuse detection and reporting services; audit and hearing coordination; quality reporting and recovery audit contracting (RAC).
“Our extensive program integrity product suite – featuring thousands of data analytics and the latest artificial intelligence and machine-learning technologies – was a natural fit to lead this QA module for New Mexico,” said
Currently, HMS provides technology and services to more than forty
HMS advances the healthcare system by helping healthcare organizations reduce costs and improve health outcomes. Through our industry-leading technology, analytics and engagement solutions, we save billions of dollars annually while helping consumers lead healthier lives. HMS provides a broad range of coordination of benefits, payment integrity, care management and member engagement solutions that help move the healthcare system forward. Visit us at www.hms.com or follow us on Twitter at @HMSHealthcare.
Source: HMS Holdings Corp