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"We've created an automated system that uses our TeraMatch(R) to help TMHPquickly verify Medicaid provider eligibility," said Andi Gillentine, VicePresident of Health Care for S3 Matching Technologies."TMHP staffers werespending an excessive amount of time checking on the qualifications of eachprovider prior to payment," she explained.
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TeraMatch(R) runs detailed matching against various databases and liststhat include doctors or clinics that might have been sanctioned for failing topay taxes, defrauding the government or simply letting their licenses expire.Those findings from various exclusion lists are then reported automatically inminutes.
"TMHP tracks hundreds of thousands of providers to make certain the rightpeople are being paid," said Rick Pope, Managing Director of TMHP. "S3 hasgiven us a tool that dramatically reduces risk and can potentially increasethe level of confidence that beneficiaries are receiving health care fromqualified providers."
The Texas Medicaid program provides health-care coverage for more than2 million low-income Texans.
About S3 Matching Technologies (http://www.S3.com)
S3 is an Austin, Texas based company focused on providing data qualitymanagement software for the IT, telecom, financial services, and healthcareindustries. S3 invented TeraMatch(R), a rules-based matching engine which usesalgorithmic scoring based on industry-specific best practices. S3's softwaremay be deployed as licensed software or as a managed solution.
The Texas Medicaid & Healthcare Partnership (TMHP) is a coalition ofcontractors headed by Affiliated Computer Services Inc. (ACS) StateHealthcare, LLC. On January 1, 2004, ACS, under contract with the Texas Healthand Human Services Commission (HHSC), assumed administration of Medicaidclaims processing and the Medicaid primary care case management (PCCM)program. ACS and its team of subcontactors meet new consolidated Medicaidresponsibilities under the name of TMHP.
SOURCE S3 Matching Technologies
