December 1, 2015
HMS was selected as a finalist for its innovative, industry leading fraud prevention module, link visualization. The cloud-based solution builds on the company's fraud prevention capabilities, allowing healthcare payers to quickly identify potential collaboration and collusion between suspect providers and members.
Healthcare fraud costs the country tens of billions of dollars a year. The deliberately deceptive nature of many schemes is based on complex and hidden relationships and multiple layers of individuals and entities. HMS's new tool allows payers to better identify these layers through data visualization in order to find potential fraud quickly.
The Fierce Innovation Awards recognize pioneering technologies and solutions that will catapult the health payer industry into exciting new realms. Finalists were chosen by a distinguished panel of executives from major health plans. A complete list of judges can be found at https://www.fierceinnovationawards.com/healthpayer/2015#our_judges.
All applications were evaluated based on the following criteria: technology innovation, financial impact/value, competitive advantage, member experience/member outcomes, market need, and overall and innovation. Finalists were selected based on calculation of the judges' scores in each area.
'HMS is proud to be a finalist in this year's awards program,' said
To learn more about HMS, visit www.hms.com.
About HMS
HMS powers healthcare with integrity by helping payers contain costs. Using innovative and time-tested technology and analytics, we prevent improper claims and recover overpayments. HMS delivers actionable results that improve performance and save payers billions of dollars every year.
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