←  All agencies

HHS   |   Department of Health and Human Services

HMC is expert at claims and payment review, corrective-action closure, systems transitions and contractor acceptance for HHS programs.

We support HHS operating division program teams and their delivery partners on the process, records and management controls behind each decision. Technical, legal and acceptance authority stays with HHS.

Discuss HHS-related work
Exterior of a brick healthcare facility

Where HMC can contribute

01

Claims, appeals and payment review

We review claims before and after payment against billing rules and documentation. We track denials and appeals to their outcome. We identify underpayments and repeat errors and assign each one a corrective action. Every decision file carries the evidence the next reviewer needs. Clinical judgments stay with licensed reviewers.

02

Corrective-action closure across award years

We tie each finding to its root cause, an owner and a test that shows the fix holds, and we keep the record intact when reports change hands between award years.

03

Systems transition and cross-system control

We map each case's path across old and new systems, define the checks that confirm a handoff was received, and support data migration and user acceptance testing.

04

Vendor performance and acceptance

We set acceptance criteria for each service still owed, trace deliverables to the evidence that accepts them, and keep retired scope separate from active scope. Acceptance stays with the contracting officer.

Track record

HMC's leadership ran a specialty finance company with a lean, specialized team.

Federal credentials

Legal entity
Horta Management Consultants, LLC
Ownership
Woman-owned and minority-owned small business
SAM registration
Active
UEI
NAFCJB5NZLK7
CAGE
8MH40