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HMS Offers Complete Revenue Recovery Solutions PowerPoint Presentation
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HMS Offers Complete Revenue Recovery Solutions

HMS Offers Complete Revenue Recovery Solutions

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HMS Offers Complete Revenue Recovery Solutions

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  1. Health Management Systems Overview • HMS Offers Complete Revenue Recovery Solutions • 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. • 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. 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. 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: info@hmsy.com 051607