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Health Care Excel Enhances Service Offering through Dental Claims Review

Health Care Excel’s Dental Review Service is designed to help manage dental care costs, improve quality of care, and assure that services are necessary and appropriate. Our mission is to control dental fraud and errors and recover lost dollars. Our proven process delivers results that allow our clients to: Recoup money lost in fraudulent or wasteful treatment. Improve provider retention in your network through education. Education provider offices on correct billing procedures. Monitor continually identified outliers. Health Care Excel selects highly trained and experienced Dental Hygienists and Dentists to conduct our dental reviews. We use our proven successful medical model for all dental reviews and investigations. Utilizing Dental Hygienists in […]

Deadline Extended: EDGE Server Data

On Monday, April 27th CMS issued a statement informing issuer’s that a grace period for the April 30, 2015 deadline to submit EDGE server data for benefit year 2014 financial transfers has been granted until May 15, 2015. Click here to read the official statement in its entirety.


Health Care Excel Enhances Data Analytics Offering Through Acquisition

Valiant Health joins the Health Care Excel family PLAINFIELD, Ind., April 10, 2015 – Health Care Excel has completed the acquisition of Valiant Health effective April 2015. The transaction kicks off the second quarter, furthering Health Care Excel’s commitment to the data analytics market and advancing the company’s suite of provider and payer solutions. Based in Milwaukee, Wisconsin, Valiant Health is a healthcare technology company with a dedicated software tool, proActive Management, that gives health plans and providers a clear view of current performance levels by capturing and analyzing data using a wide array of industry-critical measures, such as NCQA’s HEDIS and the IHI Triple Aim. The proActive Management tool […]


URAC Health Utilization Management Accreditation

  We are excited to announce that our organization has been awarded full Health Utilization Management (HUM) Accreditation from URAC. URAC is a Washington, DC based health care accrediting organization that establishes quality standards for the health care industry. The URAC accreditation process demonstrates a commitment to quality services and serves as a framework to improve business processes through benchmarking organizations against nationally recognized standards. “We applaud Health Care Excel on achieving URAC Health Utilization Management Accreditation,” said URAC President and CEO Kylanne Green. “In today’s healthcare market, URAC accreditation provides a mark of distinction.” URAC’s Health Utilization Management Accreditation ensures that all types of organizations conducting utilization review follow […]

Upcoming Events

NHCAA Institute for Health Care Fraud Preventions’s Annual Training Conference
November 18-21, 2014
Booth # 521
Dallas, Texas 

The NHCAA Institute for Health Care Fraud Prevention’s Annual Training Conference is recognized as the single-most important health care anti-fraud venue, spotlighting trends and emerging schemes and bringing together the industry’s leaders to share information on best practices to detect, investigate, prosecute and prevent fraud, waste and abuse.

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