The client has trusted HGS for a widening scope of services, including re-evaluations; complex nurse review for medical necessity, compensability, relatedness/appropriateness; and code review by certified professional coders.
In addition to driving breakthrough savings for this client, HGS has brought innovation, such as our inventory management tool, to proactively manage inventory within state-stipulated timeframes and an accurate coding mechanism, which has detected a 25% rate of coding accuracy opportunity. Today HGS’s consultative, proactive strategy works across siloes to also enhance profitability, provider relations, and member satisfaction—all key to transformation for this client partner.
Throughout our partnership, HGS has demonstrated value that transcends our initial role as a transaction partner. We have provided crucial support to this client’s savings objectives while also co-creating solutions and innovation to support both provider and member satisfaction.
Three key areas of our partnership success: