HMS' COB solution can help state agencies recover reimbursement for COVID-19 testing and vaccine services from insurance plans.
HMS' Clinical Claim Reviews leverage a vast knowledge base from clinical experts, credentialed physicians, and healthcare data scientists to improve payment accuracy and minimize pay-and-chase.
HMS' Medicare Advantage Premium Protection uses member insurance information from CMS to determine whether Medicare has primary or secondary responsibility for paying claims.
Episode of Care is a semi-automated payment accuracy solution from HMS that analyzes a patient's claims history related to an episode of care to identify discrepancies and recover overpayments.
Here are the most frequently asked questions about HMS' Genetic Testing solution.