Transcript HMS Offers Complete Revenue Recovery Solutions

Health Management Systems Overview
HMS Offers Complete Revenue Recovery Solutions
We Bring New Sources
Of Revenue To Light.SM
In September 2006, Public
Consulting Group’s Benefit Solutions
Practice Area joined Health
Management Systems. Now more
than ever, HMS continues to be a
national leader in revenue recovery
and cost containment for government
healthcare programs. To date, HMS
has recovered over $6.6 billion for
third parties and other funding
sources on behalf of our clients, and
we’ve helped them achieve billions
more in cost avoidance savings.
HMS has active contracts in 39
states.
To help government healthcare programs meet their increasing fiscal
challenges, HMS offers the most comprehensive and effective revenue
recovery and cost containment services available today. Drawing on our
proprietary technology and vast experience, we generate revenue and cost
avoidance savings for our clients—at no additional expense or administrative
burden.
HMS’s array of services includes:
 Coordination of benefits (third-party liability services)
 Pharmacy coordination of benefits
 Medicaid-Medicare coordination of benefits
 Overpayment recovery
 Provider audits
 Medical support enforcement
Unrivaled Recoveries, Unrivaled Resources
HMS is the only coordination of benefits vendor to generate more than
$6.6 billion in revenue recoveries for our clients. Our success stems from
resources that include:
• A network of 250+ health insurance databases—the industry’s largest—
which we continually update and expand.
• Advanced billing platforms that enable us to submit 80% of all claims
electronically, streamlining their transmission to third-party carriers and
pharmacy benefit managers.
For more information about HMS
and our revenue-generating
services, please contact:
Bill Lucia, President
Health Management Systems
401 Park Avenue South
New York, NY 10016
877-HMS-0184
www.hmsy.com
email: [email protected]
• A rigorous data mining and yield management process that uncovers
new insurance information to maximize recoveries.
The Most Experienced Team in the Industry
HMS’s strength resides in the talents and experience of its people. Our staff
include senior executives from fields such as insurance, auditing, pharmacy
benefits, and healthcare consulting. We employ experts with decades of
experience in healthcare and public policy administration, data processing,
systems analysis and development, information management, industrial
engineering, claims processing, and quality control. And we thoroughly train all
personnel according to the detailed requirements of each project, to help ensure
that we achieve full compliance and meet the strategic goals of our clients.
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