Given the complexity of the health care and the potential vulnerabilities that exist, HDMGS performs audits along the continuum of the healthcare supply chain.
Retrospective
Our audit solutions provide a retrospective analysis — utilizing 100% of the claims and eligibility data — to provide an extensive review of both the program and contractor’s performances.
Prospective
We offer ongoing continual monitoring of health care programs to measure performance, progress of corrective action and timely detection of overpayments and potential fraud.
Audit types include:
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