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Thomson Reuters will provide these services as a subcontractor to HealthCare Excel -- a healthcare utilization management and quality improvementorganization. Health Care Excel is providing Surveillance and UtilizationReview Services (SURS) to the Kentucky Medicaid program.
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The contract was awarded following a competitive procurement process. Itwill extend for 27 months if all options are exercised.
All states are required to ensure proper and efficient administration oftheir Medicaid program through SURS. This includes the analysis of medicalclaims and healthcare delivery patterns to identify unusual billing practices-- such as inconsistent, excessive, duplicative, or otherwise suspiciousclaims.
"We are pleased to be working with Health Care Excel to provide theCommonwealth of Kentucky with enhanced intelligence in how to detect andprevent Medicaid fraud and abuse," said Jon Newpol, Thomson Reuters executivevice president. "This is an important effort by the Commonwealth to ensure taxdollars are spent wisely, and we are proud to be part if it."
Twelve states use Thomson Reuters' capabilities for fraud detection.Thomson Reuters also provides fraud detection services for a variety ofMedicare and Medicaid programs nationally.
About Thomson Reuters
The Healthcare business of Thomson Reuters produces insights, information,benchmarks and analysis that enable organizations to manage costs, improveperformance and enhance the quality of healthcare. Thomson Reuters is theworld's leading source of intelligent information for businesses andprofessionals. We combine industry expertise with innovative technology todeliver critical information to leading decision makers in the financial,legal, tax and accounting, scientific, healthcare and media markets, poweredby the world's most trusted news organization. With headquarters in New Yorkand major operations in London and Eagan, Minnesota, Thomson Reuters employsmore than 50,000 people in 93 countries. Thomson Reuters shares are listed onthe New York Stock Exchange (NYSE: TRI); Toronto Stock Exchange (TSX: TRI);London Stock Exchange (LSE: TRIL); and Nasdaq (Nasdaq: TRIN). For moreinformation, go to www.thomsonreuters.com .
SOURCE Thomson Reuters
