HMS Awarded Medicaid Audit Contract in South Carolina

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Tue Apr 7, 2009 9:05am EDT

NEW YORK, April 7 /PRNewswire-FirstCall/ -- HMS today announced that it had
been awarded a contract for consulting and audit services for Medicaid
overpayments from the South Carolina Department of Health and Human Services.
The contract is for one year, with two optional renewal years. 

HMS will support the State Program Integrity unit in the expansion of South
Carolina's Medicaid claims review and recovery audit process, performing
post-payment review of Medicaid claims from hospitals and other medical
providers in a range of areas, including DRG coding, duplication of services,
medical necessity, and various other overpayment issues. HMS will identify the
overpayments and provide information to the state to allow for the recovery of
the overpayments.

HMS, along with its wholly owned subsidiary, Permedion, has decades of
experience working with state Medicaid agencies to target, review, and recover
overpayments across the full scope of Medicaid service types.  The company
targets inappropriate payments using sophisticated data analytics and clinical
review staff supplemented by an independent network of more than 400
physicians.

As part of this contract, HMS will work closely with providers in the state to
educate them about best practices in coding and billing of Medicaid claims. 

About HMS (Nasdaq: HMSY)
HMS is the leader in coordination of benefits and program integrity services
for government healthcare programs. The company's clients include health and
human services programs in more than 40 states, 90 Medicaid managed care
plans, the Centers for Medicare and Medicaid Services (CMS), and Veterans
Administration facilities. HMS helps ensure that healthcare claims are paid
correctly and by the responsible party. As a result of the company's services,
government healthcare programs recover over $1 billion annually, and avoid
billions of dollars more in erroneous payments. 



SOURCE  HMS

Media relations: Francesca Marraro, +1-212-857-5442, fmarraro@hms.com, or
investor relations: Christine Rogers Saenz, +1-212-857-5986, csaenz@hms.com,
both of HMS
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