What HMS helps organizations examine

Three ways to find value and protect it.

HMS studies financial and operational opportunities, brings leadership a focused question, and helps assemble the right specialists when an organization chooses to act.

Our lead service

For healthcare operators and executive teams

Revenue Opportunity Intelligence

We identify and evaluate potential growth opportunities within an organization’s existing operations, assets, and relationships. HMS brings the research and business questions to leadership, then helps develop an execution path when there is a fit.

What this can involve

A focused opportunity hypothesis, an examination of the practical economics, and a conversation about partners and implementation. Each opportunity is evaluated on its own merits.

For healthcare providers

Claims Denial & Underpayment Review

Denied, reduced, and underpaid claims can warrant a closer look. HMS helps assess whether there is a meaningful review opportunity and, where appropriate, coordinates qualified specialists to examine the relevant claims and next steps.

For payers, TPAs, and self-insured organizations

Cost Containment Review

HMS helps evaluate opportunities to improve payment accuracy and address avoidable claims expense. Depending on the engagement, we work with specialized partners to assess the relevant data, processes, and possible solutions.

White Papers

The scope, responsible parties, and any specialist work are defined for each engagement. HMS does not guarantee savings, recoveries, or a particular financial result.

Start with the question worth asking.

Tell us about your organization. We can discuss which area may warrant a closer look.

Contact HMS