EMPLOYERAUDITS.COM

coordinationofbenefits.com

Commercial Health Plans - HMS | Coordination of Benefits HMS | Coordination of Benefits

http://coordinationofbenefits.com/non-government/commercial-health-plans

Military Health System & Veterans Health Administration. The market can be categorized into two segments:. Blue Cross Blue Shield Health Plans. These hold nearly 80% of the commercial market. Non-Blue Plans. Members of these plans are mostly under contract with Aetna, CIGNA, Coventry, Humana, Health Net, and United Healthcare. Since these dual payment responsibilities occur frequently, health plans have established rules to determine which plan will pay primary and which will pay secondary. These rul...

coordinationofbenefits.com

How it Works - HMS | Coordination of Benefits HMS | Coordination of Benefits

http://coordinationofbenefits.com/government/medicare/how-it-works

Military Health System & Veterans Health Administration. Other Coverage May Include:. Veterans Administration (for VA authorized services only). TRICARE, the program which insures dependents of active duty military (for services from a military hospital or any other federal provider). Group health insurance coverage obtained through an employer or spouse’s employer, a union, or an association. Auto, Homeowners, and Property and Casualty insurance that covers personal injuries, including no-fault insurance.

coordinationofbenefits.com

Impact on Market - HMS | Coordination of Benefits HMS | Coordination of Benefits

http://coordinationofbenefits.com/government/medicaid/impact-on-market

Military Health System & Veterans Health Administration. Roughly one out of every three Medicaid recipients has other health coverage. The 2011 annual Medicaid statistical report shows that, as a result of this other coverage being primary to Medicaid (along with liability coverage), Medicaid recovered $7.5 billion of its expenditures from liable third parties. According to the GAO, approximately 13% of Medicaid recipients have other health insurance coverage. 2016 HMS Privacy Policy.

coordinationofbenefits.com

Unique Challenges - HMS | Coordination of Benefits HMS | Coordination of Benefits

http://coordinationofbenefits.com/government/medicare/unique-challenges

Military Health System & Veterans Health Administration. In addition, Medicare’s payment accuracy depends heavily on beneficiaries’ communication of actions that might result in changes to who pays first. Life events such as change of jobs, change of employment status, and changes in marital status impact Medicare’s primacy and can result in payment processing errors if not communicated quickly by beneficiaries. According to the GAO, approximately 13% of Medicaid recipients have other health insurance co...

medicaid-rac.com

FAQ | HMS is the nation's leading recovery Audit Contractor (RAC) recovering overpayments and underpayments Medicaid RAC | HMS

http://www.medicaid-rac.com/medicaid-faq

FAQ HMS is the nation's leading recovery Audit Contractor (RAC) recovering overpayments and underpayments. These are some of the most common questions we’ve been asked about Medicaid Recovery Audit Contractors (RACs). If you have a question about Medicaid RACs, please submit it to us using the form below and we will respond as well as post the question and response on the website. How is the Medicaid RAC program different from the Medicare RAC program? What states have issued Medicaid RAC RFPs? Did the T...

coordinationofbenefits.com

Unique Challenges - HMS | Coordination of Benefits HMS | Coordination of Benefits

http://coordinationofbenefits.com/government/military/unique-challenges

Military Health System & Veterans Health Administration. Military Health System & Veterans Health Administration. According to the GAO, approximately 13% of Medicaid recipients have other health insurance coverage. HMS’s National Eligibility Database contains over one billion segments of coverage data for coordinating benefits. 2016 HMS Privacy Policy.

coordinationofbenefits.com

Impact on Market - HMS | Coordination of Benefits HMS | Coordination of Benefits

http://coordinationofbenefits.com/government/military/impact-on-market

Military Health System & Veterans Health Administration. Military Health System & Veterans Health Administration. All recovered and cost-avoided funds go directly back to the VA and MHS, making these healthcare programs more efficient, cost-effective, and less burdensome on taxpayers. On average, an identified private insurance policy is valued between $1,000 and $1,500. According to the GAO, approximately 13% of Medicaid recipients have other health insurance coverage. 2016 HMS Privacy Policy.

coordinationofbenefits.com

How it Works - HMS | Coordination of Benefits HMS | Coordination of Benefits

http://coordinationofbenefits.com/non-government/commercial-health-plans/how-it-works

Military Health System & Veterans Health Administration. If a group health plan is fully insured, state law may govern the COB payment order. Self-funded plans can be more flexible. COB situations can be problematic: e.g., if both plans reserved a secondary payer stance, the claim may never get paid. Standard Coordination between Group Health Plans. For parents who are divorced, the coordination of benefit provisions can get complicated. Parents that remarry can add even more group health plans into ...

coordinationofbenefits.com

Unique Challenges - HMS | Coordination of Benefits HMS | Coordination of Benefits

http://coordinationofbenefits.com/non-government/commercial-health-plans/unique-challenges

Military Health System & Veterans Health Administration. There are other alternatives, including:. Online email query letters to the member;. Voice Recognition Units that auto-dial members and take them through the survey process; or. Third-party vendors that specialize in performing this process. Determining other health coverage can cost health plans between $9.00 and $14.00 per member per year. HMS has nearly 30 years of coordination of benefits experience. 2016 HMS Privacy Policy.

investor.hms.com

Stock Information - HMS Holdings Corp.

http://investor.hms.com/stockquote.cfm

Claim Edits and Analytics. Pre-pay Clinical Claim Review. Medicaid MCO Coordination of Benefits. Medicare Advantage Premium Protection. Working Spouse Provision Verification. Workers’ Compensation Recovery Services. Claim Edits and Analytics. Pre-pay Clinical Claim Review. Medicaid Recovery Audit Contractor. Working Spouse Provision Verification. Health Insurance Premium Payment Services. Long Term Care Financial Review. Workers’ Compensation Recovery Services. Special Needs Trust Recovery Services.