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TN/NC and AR/LA Task Orders


AdvanceMed Corporation assumed responsibility of all Benefit Integrity (BI) functions for Tennessee/North Carolina Part B in April 2002 and Arkansas, Louisiana, and Oklahoma Parts A and B in August of 2002. Subsequent to the award of these two primary contracts, Tennessee Part A was added in 2003 as well as the North Carolina Medicare Medicaid (MediMedi) Data Matching Project in that same year.

AdvanceMed provides the following support to five states and one state Medicaid Agency:
  • Medicare data analysis (discovery, detection, investigation, and overpayment projection);
  • Medical Review (medical review to support fraud case development – Part A and Part B claims review);
  • Medicare fraud investigation and prevention;
  • IT Systems for case and decision tracking and data warehousing;
  • Interface with the Medicare contractors, the medical community (outreach & education), and law enforcement; and
  • Medicare/Medicaid data matching program safeguards work for the state of North Carolina.
Client
Centers for Medicare & Medicaid Services (CMS)

Location
Nashville, TN

Program Manager
Curtis Watkins
watkinsc@admedcorp.com

 

AdvanceMed