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About

HTMS, an Emdeon company, is a management consulting firm that is focused on the healthcare market.  HTMS consultants have deep health industry knowledge, with an average of over 15 years in the industry.

Our consultants have worked in a variety of organizations as executives, leaders, and consultants.  We apply proven methodologies and best practices to help clients realize measurable performance improvements and the greatest return on their investments.

Our experience ranges from complex, multi-year projects to concise and efficient process improvements or market inquiries.  We work in partnership with our clients and have an excellent record for meeting deliverables on time and within budget. Our services include:

•     Strategic IT Planning & Road Mapping
•     IT / Business Assessment
•     Program Management
•     Systems Selection and Procurement
•     Implementation Planning and Execution
•     Merger / Acquisition Due Diligence & Implementation
•     Vendor & Industry Profiling
•     Business Optimization
•     Business Continuity Planning & Implementation
•     Strategic Planning & Market Intelligence

Our areas of expertise include:

HEALTH PLANS CORE CLAIMS SYSTEMS
•     Experience with all of the major core claims systems vendors
•     Provide technology assessments, procurements, configuration analysis, process improvement, and audit

CARE MANAGEMENT - ASSISTING HEALTH PLANS TO TRANSFORM THEIR BUSINES TO:
•     Embrace the new consumer-centric environment
•     Take control of healthcare costs
•     Improve the quality of care
•     Support members

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

ICD-10
•     Identify impacts of ICD-10 to  work flows, systems, coding, clinical guidelines, and interfaces
•     Efficient planning and implementation of interventions to ensure compliance

AUTOMATED SALES ACQUISITION
Define, plan, and execute on software and work flow to automate the sales and new member acquisition processes

HTMS has provided strategic, business, operations, and technology support to a full range of organizations in the health sector, including:

•     Payers, including health plans and delivery systems
•     Counties and government organizations
•     Associations, groups, and foundations
•     Vendors and system integrators
•     Providers