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Services
Healthcare Management Solutions, LLC. offers a wide variety of capabilities that has served non-profit, government and for-profit clients.
We bring expertise that is unique, having provided services on the state, regional, national and international levels.
HMS has a strong set of Core Capabilities including the following:
Focused Medical Expertise
HMS provides superior medical expertise in defined situations such as the review and analysis of health care delivery issues, and improving health disparities in targeted populations.
Information Technology (IT Solutions)
One of the main features of the HMS IT staff is their trade-secret, role-based, secure web application development process. This structure has been approved by CMS and the FDA for developing secure web applications that contain protected and sensitive data.
HMS provides a robust set of Information Technology (IT) capabilities that incorporate the entire software development lifecycle including development, configuration, maintenance, and monitoring of custom designed systems. HMS works with clients to develop customized solutions which incorporate software development, system administration, network administration and system security. HMS personnel have developed many development tools and solutions which enable our staff to utilize software reuse to provide the customer with a state of the art product at a reasonable cost. Our staff also has vast experience with multiple programming languages, database administration, system administration, network administration, and security technologies which allow us to provide maintenance and support of existing infrastructure and IT systems.
Health Care Regulation Survey and Assessment
Utilizing a variety of techniques, such as written instruments, direct observation, face-to-face and telephone interview, and on site surveys, HMS provides assessment, analysis, and feedback in the area of health care regulation compliance. HMS has experience in performing a variety of evaluation methodologies, such as outcome-based evaluation.
Program Integrity and Payment Safeguard Services
HMS has assembled a team of very experienced medical review and coding professionals. This team is uniquely qualified to evaluate health care services for the purpose of confirming that providers have actually delivered the service(s) for which a claim has been submitted. HMS has experience with the review of all types of health claims, including inpatient, outpatient hospital, physician, and other claim types. Additionally, our personnel are very knowledgeable of the various payment methodologies (e.g., inpatient prospective payment systems, fee-for-service systems, and capitated payment systems, etc.) in use today. We assess the accuracy of the full spectrum of health care information submitted to payers by providers of health care services.
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