This is the limited version of the HMS company profile: Join LinkedIn or Sign In to see more information.
HMS Holdings Corp., through its subsidiary, Health Management Systems, Inc. (HMS), provides cost containment, coordination of benefits, and program integrity services to government healthcare programs in the United States. Coordination of benefits services route claims already paid by a government program to the liable third party, which then reimburses the government payor. Cost avoidance services provide validated insurance coverage information that is used by government payors to reject claims that are the responsibility of a third party, typically a group health plan sponsored by a beneficiary’s employer. Program integrity services review claims paid by government programs, identify payments errors, and then recoup the erroneous payments. The company also provides Medicare bad debt cost reporting and Disproportionate Share claiming services to healthcare providers. These services enable customers to increase revenues, reduce costs, and ensure regulatory compliance. The company’s customers include State Medicaid agencies, government-sponsored managed care plans, child support agencies, SCHIP programs, the Veterans Health Administration, and other public programs. It helps these programs contain healthcare costs by identifying third party insurance coverage and recovering expenditures that were the responsibility of the third party, or that were paid in error. HMS Holdings was founded in 1974 and is headquartered in New York, New York.
New Hires and Recent Promotions at HMS
-
was Account Manager - last month
-
was Client Yield Manager - 3 months ago
-
was Operations Analyst - 6 months ago
401 Park Avenue South
New York, NY
10016
United States
Phone: 212-725-7965
Fax: 212-889-8776
| Top Schools |
| Middle Tennessee St. Univ. | 4% |
|
Estimated based on LinkedIn Data
Career path for HMS employees