HARTFORD, Conn., May 23, 2017 /PRNewswire/ -- CareCentrix, an
industry leader in making the home the center of patient care, has
partnered with Performant Financial Corporation (Nasdaq: PFMT) to
offer health care payers stronger mechanisms to identify and
decrease waste and fraudulent insurance claims in home health care
and durable medical equipment (DME).
Home health care and DME are known as high-risk areas for
insurance abuse and error, representing more than $11.4 billion in improper payments each year for
Medicare alone. i Since home health and DME claims are
often high-volume but low unit cost, traditional approaches to
detecting fraud often fall short and identified opportunities may
not be pursued. By leveraging their collective experience in home
health care and cost-containment solutions, CareCentrix and
Performant will deploy specialized analytics and algorithms to
better detect the patterns that are often overlooked but add
significant cost to health care payers.
"You only need to look at recent headlines to know that the
problems of fraud, waste, and abuse are only increasing in home
health care," said John Driscoll,
Chief Executive Officer of CareCentrix. "CareCentrix is
committed to bending the cost curve in health care by working with
payers to guide care for their members to the home. We are thrilled
to expand our capabilities in identifying and decreasing waste and
fraudulent insurance claims in home health care and DME, and look
forward to working with Performant to stay on the cutting edge of
curbing this trend for our clients."
For more than a decade, Performant has delivered analytics,
audit and recovery services to health care payers. And now, as the
cost-containment and management partner to the Centers for Medicare
& Medicaid Services (CMS) in the areas of DME, prosthetics,
home health care and hospice, Performant has an unprecedented view
of the national landscape.
"Addressing abuse in high-risk payment areas, including DME and
home health care, has become a growing concern among health care
payers. We are excited to leverage CareCentrix's unmatched
knowledge of home care management in pursuit of our mutual
goal to curb improper payments," said Simeon Kohl, Senior Vice President of Healthcare
at Performant.
About CareCentrix
CareCentrix partners with providers
and payers in the transition to value-based care with home health
management solutions and services that support improved outcomes
and efficient care delivery. Headquartered in Hartford, Conn., CareCentrix connects patients
with the care they need at home through a national network of over
8,000 credentialed provider locations. CareCentrix provides optimal
access to quality home care for more than 23 million lives by
connecting providers with patients and helping them navigate the
complex home care system. CareCentrix's extensive range of services
provides support and coordination for patients and their families
in every step of the healing process, including home health,
durable medical equipment (DME), home infusion, sleep management
and care management services, which ultimately improve care
transitions and reduce unnecessary readmissions and emergency room
visits. For more information, please visit
http://www.CareCentrix.com.
Media Contact
Vincent
Grippi
Vincent.Grippi@CareCentrix.com
860-519-3786
i Centers for Medicare & Medicaid Services.
Appendices Medicare Fee-for-Service 2016 Improper Payments Report.
2016.
https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/CERT/CERT-Reports-Items/Report-title-Appendices-Medicare-Fee-for-Service-2016-Improper-Payments-Report.html?DLPage=1&DLEntries=10&DLSort=0&DLSortDir=descending
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SOURCE CareCentrix