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Because of the seriousness of abusive coding and fraudulent billing ofmedical claims, state, federal and commercial payers are now requiringanti-fraud and abusive coding discovery and recovery programs. For example,CMS will soon be awarding four regional contracts under their Medicare RACprogram (Recovery Audit Contractor). In response to the growing need, HDMCorp. and TC3 Health, Inc. will work together to provide HDM Corp. payerclients with advanced technology and services that detect overpayments andhandle recoveries on claims with abusive coding or fraudulent patterns. Thesavings generated will help clients manage their health care expenses byproduct.
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Lisa Lechowicz, CEO and Founder of HDM Corp. stated, "We are pleased to beworking with TC3 Health, Inc. on this partnership to improve the bottom lineresults of our clients' health care products. TC3 Health Inc.'s claimsmanagement, fraud and abuse expertise and technology drives claims costslower. Further, aligning with a partner who uses technology and seasoned fraudand abusive coding experts for results supports our mission to find a betterway to administer health care."
George Bregante, Chairman of TC3 Health, Inc. notes, "We too are pleasedto work with HDM Corp. and their clients to discover and recover medical claimoverpayments resulting from fraudulent and abusive coding of medical claims. Areport published in the Journal of American Medical Association disclosed that54% of physicians surveyed reported using deception of payers to obtainbenefits and 39% of physicians surveyed reported exaggeration of a patient'scondition, diagnosis or symptoms to obtain further benefit. The problem isreal and HDM and TC3 are up to the task of discovering and recovering suchoverpayments that reduce HDM Corp.'s clients medical cost."
HDM Corp., founded in 1996, is a woman-owned Omaha-based company dedicatedto helping its nationwide clients find a better way to administer health caretransactions. HDM Corp. processes over 30 million health care transactionsannually and seeks customized solutions for its clients, whether they arepayers (insurance companies, TPAs, Taft-Hartley administrators, self-insuredemployers, and health plans) or providers. For more information on HDM Corp.,go to http://www.hdmcorp.com.
TC3 Health, Inc., founded in 2001, is a growth-stage Delaware Corporationproviding integrated claims management and loss control services to U.S.health care payers. Their services are currently provided to approximately 50U.S. payer organizations. TC3 Health, Inc. has offices in two states,California and Minnesota. For more information on TC3 Health, Inc., go tohttp://www.tc3health.com.
SOURCE TC3 Health, Inc.
