Health Market Science Announces Daily Refresh to its Provider MasterFile™
'Big Data' technology accelerates download of any changes observed to more
than six million healthcare practitioners (HCPs), improving business decisions
centered on critical provider data.
KING OF PRUSSIA, Pa., May 7, 2013
KING OF PRUSSIA, Pa., May 7,2013 /PRNewswire/ --Health Market Science (HMS),
a leading supplier of provider data and end-to-end solutions that address data
management, regulatory compliance and market intelligence, today announced
daily refreshes for more than six million healthcare practitioners (HCPs) in
the Provider MasterFile,empowering customers to make business decisions using
the most current demographics, sanctions and credentialing information. The
HCPs database is now available as a daily, weekly, monthly, or quarterly
update for all records or change-only options.
"Our clients depend on our data solutions for a variety of business objectives
and challenges," commented Matt Reichert, CEO, Health Market Science, "these
include near real-time decisions on whether to process a Medicare Part D claim
or to enroll a physician to Medicaid based on his or her credentials. Other
clients are preparing to submit state and federal reports for the Physicians
Payment Sunshine Act starting March 31, 2014 and getting HCP information
correct is key to compliance. Yet, over the last twenty four months it's been
our retail pharmacy clients that have been the most demanding on our HCP data
accuracy," Reichert continues. "With the CMS cracking down on fraud, waste,
and abuse, our accuracy for credentials such as DEA, state license, sanctions
and NPI has never been more important."
"HMS' Prescriber Eligibility® [solution] helped our pharmacy operations reduce
audit and compliance risk by giving us the flexibility to react to potential
issues either via real-time at the point-of-service or via a retrospective
investigative process," commented Maxine Johnson, R.Ph. vice president,
Managed Care Operations, SuperValu, Inc.Prescriber Eligibility leverages data
from the Provider MasterFile and is used by retail pharmacy to cross-check
prescriber identifiers and credentials for a myriad of state and federal
regulations at the point of sale or as part of a historical analysis. "With
the Provider MasterFile downloading daily updates to HCPs, our clients are
better able to adopt proactive measures to assure compliance," continued
Reichert. "In particular, we're seeing momentum with state Medicaid agencies
in provider enrollment and monitoring. Ultimately, the better and more
synchronized the data is across the healthcare continuum, the more effective
the efforts are to reduce fraud, waste and abuse."
In life sciences, escalating regulations as well as fierce competition are
driving the need for more accurate data. Understanding where a physician
spends most of his or her time, life sciences organizations can improve sales
and marketing strategies. "The Provider MasterFile has helped Philips
Healthcare meet federal and state regulatory requirements, including those
associated with the new U.S. Sunshine Act, by improving the quality, depth and
breadth of our physician data," stated Dr. Eric Silfen, chief medical officer,
The Provider MasterFile contains millions of data points on all U.S.
healthcare practitioners including physicians, advanced nurse practitioners,
dentists, veterinarians, and physician assistants. Attributes for each HCP
include ranked demographic data as well as essential credential information.
Health Market Science assigns each HCP a unique and proprietary identifier in
order for clients to readily integrate Provider MasterFile data into their
systems via web services, cloud-based solutions or data integration services.
Each and every record in the Provider MasterFile contains more than a decade
of historical information, which boosts the company's match rate with those of
client records and those garnered via public and proprietary sources.
Historical information is also leveraged as part of audit capabilities in
About Health Market Science
Health Market Science (HMS) helps healthcare organizations solve business
challenges centered on healthcare provider information. HMS uses big data
technology and domain expertise to help our clients comply with evolving
federal and state laws, reduce operational costs and maximize market
opportunities. Health Market Science offers robust solutions based on the most
comprehensive provider database, including healthcare providers (HCPs),
healthcare organizations (HCOs), and their affiliations, coupled with the
largest medical claims database in the U.S. A wealth of highly experienced
talent in data analysis, with deep industry expertise, including regulatory
compliance, mines these assets continuously for better ways to help clients
increase margins and operate more cost-effectively.
Vice President, Corporate Marketing
SOURCE Health Market Science
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