HMS Holdings Corp., through its subsidiaries, provides cost containment and payment accuracy services government-sponsored health and human services programs in the United States. It offers coordination of benefits, cost avoidance, and program integrity services. The companyÂ’s 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 beneficiaryÂ’s employer; and program integrity services review claims paid by government programs, identify payments errors, and then recoup the erroneous payments. It also provides independent external medical review on issues of quality of care, medical necessity, and experimental/investigational treatment to both state government and private clients. The company serves State Medicaid agencies, government-sponsored managed care plans, child support agencies, SCHIP programs, the Veterans Health Administration, and other public programs. HMS Holdings was founded in 1974 and is headquartered in New York, New York.
$29.75 (03/24/09)
