HMS is the nation’s leader in cost containment, program integrity, and coordination of benefits solutions for government-funded and commercial healthcare entities.
Focused exclusively on the healthcare industry since our founding, HMS helps our clients ensure that healthcare claims are paid correctly and by the responsible party, and that those enrolled to receive program benefits meet qualifying criteria.
By deploying our proven approaches, HMS recovers in excess of $1 billion for our clients every year, and saves them billions of dollars more in erroneous payments.
In a 3 month period, HMS recovered over $5 million for New York State through Payment Integrity initiatives, reviewed over $80 million in potential Medicaid overpayments relating to billing errors and under-reported third party payments.
