Customer Login

Advisory Services

Consult with HMS® to maximize your cost containment efforts.

Claim Edits and Analytics

When health plans and state Medicaid agencies look for an expert partner to improve their performance, they call on Advisory Services.

No other team has the practical and relevant qualifications to help you succeed. We’re an independent arm of HMS, a cost containment company that has served 45 Medicaid agencies and 240 managed care plans for 35 years. The principals of Advisory Services each has more than 25 years of direct experience in a range of cost containment solutions, including Medicaid program integrity, coordination of benefits, and state and regulatory compliance.

Backed by data, technology, and experience, we can examine your business against national best practices, apply focused analytics, and deliver recommendations for operational improvements across the payment continuum — without the need for a multiyear consulting arrangement.

Our key practice areas include coordination of benefits program assessments, managed care effectiveness, managed care mega rule, program integrity assessments, and FFP maximization. We have the data, technology, and experience to customize a solution that meets the specific needs of your organization.

Advisory Services will give you actionable insights to help you:

  • Maximize opportunities
  • Ensure compliance
  • Maintain a competitive advantage
  • Avoid financial penalties
  • Reduce costs
  • Protect against negative audit findings

With your goals and objectives in mind, we develop program integrity models that ensure compliance with federal requirements and provide recommendations accordingly. All recommendations will promote coordination, collaboration and transparency, maximize results, and optimize your business.

Call on Advisory Services today to drive the highest return on your cost containment work.