Focus Areas

Automated Member
Acquisition
Care Management
Healthcare Reform
Health Information
Exchange
Health Plan Core
Claims Systems
ICD-10
Medicare

Focus Areas - Medicare

HTMS has provided strategic, business, operations, and technology support to a full range of organizations in the health sector. HTMS provides solutions across all areas of the health care continuum, with an additional focus on the following areas of expertise noted to the left.

Medicare – Many health plans and payers participate in a Medicare Advantage, Medicare Advantage Part D (MA-PD) or Special Needs Plan (SNP), which serves the elderly and disabled. As this population grows, so do the requirements for compliance and operations defined by the Centers for Medicare and Medicaid Services (CMS). To support health plans and BPO organizations in navigating the complex Medicare environment, HTMS offers the following services:

Medicare operations and compliance
assessment
CMS mock site visit or mock audits
Medicare training workshops
Medicare Advantage implementation
Medicare compliance strategy, execution, and support