HMS Holdings wholly owned subsidiary has launched HMS IntegritySource payment integrity suite for commercial and government healthcare payers.
Aimed to deliver 'one data source, many solutions', HMS IntegritySource's 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.
HMS chief development officer Christina Dragonetti said, "HMS IntegritySource represents a significant step forward in providing a one-stop shop for payment integrity solutions for commercial and government payers."
Enhancements used by commercial insurers enable government payers to improve the claims payment accuracy, boosting net return on investment from 3 to 1 to 10 to 1, according to the company.
Using information management and processing technology, HMS offers scalable services from supplemental to full outsourcing.