Cognosante: How to Reduce Fraud, Waste, and Abuse

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47 States. 25 Years. Unsurpassed Experience. REDUCED FRAUD, WASTE, AND ABUSE. Medicaid Audit Management Comprehensive Audit Management and Audit Lifecycle Support Automate Investigations Saving Time And Costs Improve Investigation Integrity Improve Data Security Improve Reporting Compliance Cognosante’s Audit Recovery Management System, or ARMS™ streamlines your audit management process helping you identify and manage claims for a full range of audit needs. It delivers automatic claim reviews for fraud and abuse; effective management of investigation case loads; full tracking of activities against audit cases and secure provider access for updates on the status of your cases. ARMS™ Audit Recovery Management System PROVIDES A COMPLETE CLIENT AUDIT AND RECOVERY MANAGEMENT SYSTEM: It provides a comprehensive system to analyze multiple data sources; create a repeatable, auditable, and recoverable investigative process; control custody and access to sensitive information and customize dashboards for a variety of different stakeholder roles. STREAMLINES AUDIT MANAGEMENT: It automates your audit management process enabling rapid identification of improper payments. IMPROVES INVESTIGATION COMMAND AND CONTROL: It provides up-to-date, quality provider data; better understanding of the cause of improper payments; improved communications to providers and payer agencies; and better documentation of suspected fraud cases. IMPROVES COMPLIANCE: It publishes findings that comply with legal, regulatory, and industry reporting standards while reducing the time and cost of investigations. FIND OUT MORE: www.cognosante.com 855-CGNSNTE (855-246-7683) ARMS™ automates your audit management process enabling rapid identification of improper payments.

Transcript of Cognosante: How to Reduce Fraud, Waste, and Abuse

Page 1: Cognosante: How to Reduce Fraud, Waste, and Abuse

47 States. 25 Years. Unsurpassed Experience.

REDUCED FRAUD, WASTE, AND ABUSE.

Medicaid Audit Management Comprehensive Audit Management and Audit Lifecycle Support

• Automate Investigations Saving Time And Costs

• Improve Investigation Integrity

• Improve Data Security

• Improve Reporting Compliance

Cognosante’s Audit Recovery Management System, or ARMS™ streamlines your audit management process helping you identify and manage claims for a full range of audit needs. It delivers automatic claim reviews for fraud and abuse; effective management of investigation case loads; full tracking of activities against audit cases and secure provider access for updates on the status of your cases.

ARMS™Audit Recovery Management System

PROVIDES A COMPLETE CLIENT AUDIT AND RECOVERY MANAGEMENT SYSTEM: It provides a comprehensive system to analyze multiple data sources; create a repeatable, auditable, and recoverable investigative process; control custody and access to sensitive information and customize dashboards for a variety of different stakeholder roles.

STREAMLINES AUDIT MANAGEMENT: It automates your audit management process enabling rapid identification of improper payments.

IMPROVES INVESTIGATION COMMAND AND CONTROL: It provides up-to-date, quality provider data; better understanding of the cause of improper payments; improved communications to providers and payer agencies; and better documentation of suspected fraud cases.

IMPROVES COMPLIANCE: It publishes findings that comply with legal, regulatory, and industry reporting standards while reducing the time and cost of investigations.

FIND OUT MORE: www.cognosante.com 855-CGNSNTE (855-246-7683)

ARMS™ automates your audit management process enabling rapid identification of improper payments.

Page 2: Cognosante: How to Reduce Fraud, Waste, and Abuse

The Cognosante PromiseCustomers who partner with Cognosante realize their goal of optimally sharing information and providing services with

peak performance and efficiency at a lower cost and in less time. Cognosante’s 100% quality pledge delivered by the most

advanced knowledge leaders and subject matter experts in the industry ensures our customers’ success — every time.

THE BEST MINDS ON HEALTH TO PREPARE YOU FOR THE FUTURE.

47 States. 25 Years. Unsurpassed Experience.

THE COGNOSANTE ADVANTAGE

We focus on health IT only to deliver superior knowledge and experience to:

• Link federal, state, and local government

• See over the healthcare horizon

• Optimize business processes

• Comply with Federal government

MITA and MMIS certification standards

PROVEN SOLUTIONS FOR THE FUTURE

• Health Insurance Exchange

• Integrated Eligibility and Enrollment

• MITA 3.0 State Self-Assessment and Planning

• Modular MMIS Procurement Support

• MMIS Project Management and IV&V/QA Support

• Contact Center Solutions

• Fraud, Waste, and Abuse Solutions

• ICD-10 Services

• Health Information Exchange

Cognosante fundamentally believes we can create a better healthcare environment where everyone benefits. We are dedicated to applying our knowledge and innovation to help produce a healthier population.

The Trusted Knowledge Leader Cognosante is the industry’s health technology knowledge leader in helping states meet today’s complex

mandates. From ICD-10 to Health Insurance Exchange, we help you master the big picture. We make you

future-ready with industry-leading modular architecture and Seven Conditions and Standards compliance —

all while maximizing efficiency, quality and tight budgets.

FIND OUT MORE: www.cognosante.com 855-CGNSNTE (855-246-7683)