# Health Management Systems

Health Management Systems is a Health Care Services based in Irving, United States.

## Overview

- **Organization type:** Health Care Services
- **Headquarters:** Irving, United States
- **Region:** North America
- **Address:** Irving, TX, United States
- **Assets under management:** Undisclosed
- **Website:** www.hssglobal.com

## Regulatory record

- **Reports private funds:** No

## About

Health Management Systems, which does business as HSS Global, is headquartered in Irving, Texas. The firm specializes in healthcare payment integrity and revenue optimization, offering claims editing, cost containment analytics, and value-based reimbursement infrastructure primarily to U.S. health plans and hospitals. The firm's core offering centers on processing medical claims to detect improper payments, such as duplicate billing or services not rendered. Their technology sits between payers and providers, automating reviews of medical codes and fee schedules. The economic model is often contingency-based: HSS shares in the savings or recoveries it identifies. This structure aligns incentives with claim accuracy. The client roster includes major national and regional health insurance companies. HSS Global supports its operations from a single location in Irving, Texas. The firm has not publicly disclosed its employee count or revenue figures. Use of its platform involves the integration of artificial intelligence and machine learning over time to refine claim review efficiency. The firm operates within a niche of the healthcare technology sector focused on payment accuracy. Its business model relies on transaction volumes and regulatory mandates around administrative simplification in the U.S. healthcare system, rather than on direct investment in health systems.

## Sectors

- Healthcare Services
- Health IT
- Revenue Cycle Management

## Questions

### Who are the primary customers of Health Management Systems?

Health Management Systems, known as HSS Global, sells its revenue cycle management and payment integrity services to health insurance companies (payers) and healthcare providers. Public records indicate clients include national health plans.

### What specific services does HSS Global offer?

HSS Global offers claims editing, cost-containment analytics, and revenue optimization for medical claims. The firm processes data to flag incorrect billing, overpayments, and code inconsistencies. It often operates under a contingency fee model.

### Does HSS Global use artificial intelligence in its platform?

Yes, HSS Global has incorporated artificial intelligence and machine learning into its claims review platform to improve accuracy and efficiency over time. The technology automates the screening of medical codes and fee schedules.

### Where is Health Management Systems headquartered?

Health Management Systems, operating as HSS Global, is headquartered in Irving, Texas, United States. Public records list this as the firm's sole official location.

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Last updated: 2026-06-03T20:00:00.000Z

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