Cognosante: How to Reduce Fraud, Waste, and Abuse

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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.,

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Cognosante: How to Reduce Fraud, Waste, and Abuse

  1. 1. 47 States. 25 Years. Unsurpassed Experience.REDUCED FRAUD, WASTE, AND ABUSE. Medicaid Audit Management Comprehensive Audit Management and Audit Lifecycle Support • AutomateInvestigation Integrity Time And Costs Investigations Saving • Improve Data Security Improve • 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™ automates your audit management process enabling rapid identification of improper payments. 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)
  2. 2. 47 States. 25 Years. Unsurpassed Experience.THE BEST MINDS ON HEALTHTO PREPARE YOU FOR THE FUTURE.Cognosante fundamentally believes we can create a better healthcare environmentwhere everyone benefits. We are dedicated to applying our knowledge and innovationto help produce a healthier population.The Trusted Knowledge LeaderCognosante is the industry’s health technology knowledge leader in helping states meet today’s complexmandates. From ICD-10 to Health Insurance Exchange, we help you master the big picture. We make youfuture-ready with industry-leading modular architecture and Seven Conditions and Standards compliance —all while maximizing efficiency, quality and tight budgets.THE COGNOSANTE ADVANTAGE PROVEN SOLUTIONS FOR THE FUTUREWe focus on health IT only to deliver • Health Insurance Exchangesuperior knowledge and experience to: • Integrated Eligibility and Enrollment• Link federal, state, and local government • and Planning Self-Assessment M ITA 3.0 State• See over the healthcare horizon• Optimize business processes • Modular MMIS Procurement Support• Comply with Federal government • IVV/QA Support M MIS Project Management and MITA and MMIS certification standards • Contact Center Solutions • Fraud, Waste, and Abuse Solutions • ICD-10 Services • Health Information ExchangeThe Cognosante PromiseCustomers who partner with Cognosante realize their goal of optimally sharing information and providing services withpeak performance and efficiency at a lower cost and in less time. Cognosante’s 100% quality pledge delivered by the mostadvanced knowledge leaders and subject matter experts in the industry ensures our customers’ success — every time. FIND OUT MORE: www.cognosante.com 855-CGNSNTE (855-246-7683)

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