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Biotech / Medical : Health Management Systems, Inc. (HMSY)- Great BuY!

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From: JakeStraw	11/18/2014 8:42:28 AM
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HMS Introduces Innovative Prepay Clinical Reviews to Fight Fraud, Waste, and Abuse finance.yahoo.com “In response to the industry’s move to payment models centered on outcome-based episodes of care, HMS is proud to be first to market with a prepay solution for clinical reviews,” said Spencer Young, Senior Vice President of Clinical Solutions. “The solution builds on our track record of success in postpay clinical reviews, and leverages our unique targeting process to maximize findings for payers while minimizing the burden on providers. This is the next step in helping payers shift from recovery approaches to higher-value prepayment models.” Young added, “With our prepay solution, payers will capture a high percentage of the potential errors because they’ll be paying claims accurately in the first place, rather than recovering retrospectively. There can be a significant financial upside for payers, since not all postpay findings are recovered.” HMS will present the new solution at the National Healthcare Anti-Fraud Association Conference in Dallas from November 18–20.

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