Enterprising healthcare  
 

State Dialogue

 

July 12, 2016

 

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Payer Power

 

Who’s afraid of post-adjudication clinical claim review?

 

This first of a five-video series introduces the challenges of a review process – and possible solutions.

 
 

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RAC Servers

 

HMS gives Medicaid agencies what they want: recoveries.

 

How did HMS become the No. 1 Medicaid Recovery Audit Contractor? (Hint: data analysis that extends to all claim types.)

 
 

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Big Data Barriers

 

Break through with balance – and improve the healthcare system.

 

HMS Chief Medical Officer Gary Call, M.D., explores how payers can make the most of the era of big data.

 
 
 
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