HMS, Inc. - www.hms.com

First HMS is the nation’s leader in coordination of benefits and program integrity services for healthcare payors. HMS’s clients include health and human services programs in more than 40 states; commercial programs, including commercial plans, employers, and over 100 Medicaid managed care plans; the Centers for Medicare and Medicaid Services (CMS); and Veterans Administration facilities. As a result of the company’s services, clients recover over $1 billion annually, and save billions of dollars more in erroneous payments.

HMS Services:

•Other insurance identification/third party liability
•Revenue recovery
•Comprehensive cost avoidance, including real-time cost avoidance solutions implemented since 2004
•Pharmacy cost containment services
•Program integrity (overpayments, clinical reviews, financial reviews, compliance audits, fraud & abuse detection, investigation services)
•Subrogation (trauma, workers’ compensation, estate recovery)
•Child medical support enforcement
•Eligibility services: dependent eligibility audits, premium assistance management, outreach to the uninsured, asset verification, eligibility determination.

Phyllis Hartstein, VP of Managed Care
401 Park Avenue South
New York, NY 10016
(212) 857-5840
phartstein@hms.com