Healthcare Services
DCS' Healthcare Services division was specially set up to aid the efficient identification of overpayments and underpayments made by government agencies to healthcare providers. DCS also provides reporting and support services to assist in the development of a plan to mitigate future improper payments, including instances of fraud, abuse, and waste
DCS employs specialized processes to ensure that improper payments are quickly identified and resolved in a fair and equitable manner for all parties involved. DCS also helps promote outreach efforts and forums to apprise the public and healthcare providers of the nature of a particular program and to gain their understanding and cooperation in determining the final outcome of the disbursement of payments.
Prior to the release of the most recent competitive Recovery Audit Contractor bid, DCS was one of two companies on a three-year contract for the Medicare Secondary Payer (MSP) RAC Demonstration contract of California by the Centers for Medicare & Medicaid Services (CMS) . In a final report, an independent committee found that DCS was responsible for over 90% of the dollars recovered by recovery specialists for the MSP RAC contract even though it had received only 33% of the available claims.
In 2006, DCS also assisted CMS with recovering erroneously mailed checks under the CMS Recovery of Medicare Beneficiary Prescription Drug Benefit Premium program. Realizing the time-sensitive nature of the program, DCS successfully contacted and recovered over $31.5M within 90 days of receiving the CMS request.
Then, in 2008, DCS became one of four vendors on the CMS Recovery Audit Contract (RAC) with a proven track record of quick and thorough recovery efforts. Under the RAC contract, DCS will assist providers in reducing Medicare improper payments, and help cut down on waste and abuse within the Medicare program.