Medicare Recovery Audit Contractor HDI Reaches $1 Billion in Corrections
NEW YORK -- January 7, 2013
HMS Holdings Corp. (NASDAQ: HMSY)—a leading provider of cost-containment
services for Medicare, Medicaid, and other healthcare payers—today announced
that its wholly owned subsidiary HealthDataInsights, Inc. (HDI), a Medicare
Recovery Audit Contractor (RAC), reached the milestone of $1 billion in
corrections for overpayments and underpayments since the inception of the
national program in 2009.
The size of HDI’s territory also highlights the effectiveness of its work in
program integrity. The company is the Medicare RAC for region D—which includes
only 17 states and three territories—and HDI has generated 36% of all
corrections to date.
The $1 billion mark in corrections reaffirms the outperformance of HDI’s
purpose-built technology, first seen during the three-year pilot program.
Since then, the company has continued to refine its system to locate ongoing
cost-saving opportunities for the Centers for Medicare and Medicaid Services
“CMS’s Comprehensive Error Rate Testing Report, released in November 2012,
reported the improper payment rate was 8.6%, representing $28.8 billion in
improper payments,” said Andrea Benko, president of HDI. “We’re proud to
recover a fraction of those dollars so Medicare can do more for those who need
About HMS Holdings Corp.
HMS Holdings Corp., through such business units as HMS and HDI, provides
coordination of benefits and program integrity services for payers. These
units serve health and human services programs in more than 40 states;
commercial programs, including commercial plans, employers, and over 135
Medicaid managed care plans; the Centers for Medicare and Medicaid Services
(CMS); and Veterans Administration facilities. As a result of these services,
clients recovered more than $2.5 billion and saved nearly $7 billion through
the prevention of erroneous payments in 2011.
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HMS Holdings Corp.
Francesca Marraro, 212-857-5442 (media relations)
Christine Saenz, 212-857-5986 (investor relations)
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