Government Data Services
Government Data Services (GDS) is a private healthcare reimbursement and revenue cycle services firm that uses proprietary data-matching processes to help U.S. hospitals recover Medicare underpayments and optimize DSH, 340B, Bad Debt, S-10, and Transfer DRG claims.
- Company typePrivate
- Founded2006
- HeadquartersAkron, United States
- Headcount501–1,000
- GTM typeB2B
- OfferingServices
What Government Data Services does
Government Data Services LLC (GDS), founded in 2005 and headquartered in Akron, Ohio, is a private healthcare reimbursement and revenue cycle services firm serving U.S. acute-care hospitals, health systems, 340B-registered hospitals, and select Medicare Part B practices. The company operates from two offices (Akron, OH and Franklin, TN) with a workforce of 501-1,000 employees and has delivered MAC-approved and audit-tested documentation to more than 2,300 providers and over 1,000 hospitals across thousands of cost reports, appeals, and litigation matters.
GDS's core technology consists of proprietary data-matching and analytics processes for Medicare reimbursement workflows, including the MBI Resolution Service, MAIDs (Medicare Part A and Medicare Advantage Identification Service), MIDaS Insurance ID batch eligibility verification, the GDS MBD Process for Medicare Bad Debt validation, and the S-10 Proprietary Process for uncompensated care quantification. These processes are delivered as professional services engagements in which GDS performs all analytical work, producing documentation suitable for MAC and CMS submission as well as litigation support.
The company monetizes through two primary streams: project-based professional services engagements (Medicare DSH, SSI realignment, 340B MA underpayment recovery, Medicare Bad Debt, Transfer DRG, S-10 uncompensated care, MAIDs/MBI/MIDaS eligibility, and Annual Wellness Visit identification), and a "Bundle & Save" subscription product that packages services at monthly, quarterly, or yearly recurring fees. GDS acquires enterprise healthcare clients through a risk-free, no-obligation free diagnostic review model, inside sales via a toll-free number and web contact forms, content marketing through its blog "The Scoop," and SEO targeting hospital reimbursement keywords. It has held AICPA SOC2 Type II certification since 2019 and is structured as an Ohio LLC under Christopher Cusimano (CEO).
Government Data Services firmographics
Firmographics- Name
- Government Data Services
- Legal name
- Government Data Services LLC
- Website
- https://govdataservices.com
- Company type
- Private
- Founded year
- 2006
- Operating status
- Operating
- Headcount range
- 501–1,000 employees
- Short description
- Government Data Services (GDS) is a private healthcare reimbursement and revenue cycle services firm that uses proprietary data-matching processes to help U.S. hospitals recover Medicare underpayments and optimize DSH, 340B, Bad Debt, S-10, and Transfer DRG claims.
- Ownership category
- akta.pro rank
Government Data Services industry classification
Industry- Product category
- Healthcare Reimbursement & Revenue Cycle Services
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Hospital & Medical Service Plans (6324), Services-Health Services (8000), Services-Computer Processing & Data Preparation (7374)
- akta.pro primary industry
- Government Program Administrative Services (Medicare/Medicaid ASO/TPA) (HLAEALAO)
- akta.pro secondary industries
- Medigap Claims Processing & Coordination of Benefits (COB) (HLAEADAG), Record Locator Services (RLS) & Longitudinal Record Aggregation (HLACABAH)
Keywords
Where Government Data Services is headquartered
LocationHeadquarters
- HQ city
- Akron
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
Government Data Services business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales
Revenue model
- Professional Services - Reimbursement & Revenue Cycle: GDS provides specialized healthcare reimbursement and revenue cycle professional services to hospitals, including Medicare DSH analysis, SSI realignment, Medicare Bad Debt, Transfer DRG recovery, 340B MA underpayment analysis, S-10 uncompensated care, and eligibility verification. Services are delivered as consulting engagements with GDS performing all analytical work.
- Subscription Services - Bundle & Save: Services are available as a complete bundle or a la carte at a budget-friendly monthly, yearly, and/or quarterly subscription fee. Other fee arrangements may be customized to suit unique client needs upon request.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Freemium | One-time | Free diagnostic review (Reimbursement and Revenue Cycle) |
| Subscription | Monthly | Bundle & Save subscription plans |
Go-to-market motion1 record
Distribution channels2 records
Marketing channels5 records
Government Data Services product offering
Product offeringCore offering
Government Data Services (GDS) is a professional services firm that helps U.S. hospitals and health systems maximize Medicare reimbursement and recover underpayments through proprietary data analytics and regulatory expertise. Services span Medicare DSH reporting, SSI realignment, 340B Medicare Advantage underpayment quantification, Medicare Bad Debt validation, Worksheet S-10 uncompensated care analysis, Transfer DRG recovery, MBI resolution, batch eligibility verification, and shadow billing. Engagements are delivered as consulting projects with GDS performing all analytical work and producing MAC-approved, audit-tested documentation, available individually or via a subscription bundle.
Product overview
Government Data Services offers a unified suite of healthcare reimbursement and revenue cycle management solutions. The core portfolio includes Medicare DSH reporting, SSI Realignment, 340B MA Underpayments recovery, Medicare Bad Debt, Worksheet S-10 Uncompensated Care, Transfer DRG recovery, Medicare ID & Shadow Billing (MAIDs), MBI ID Finder, MIDaS Insurance ID, and Annual Wellness Visit identification services. These products can be purchased individually or bundled through the Bundle & Save subscription program. Services are available as a la carte offerings or complete bundles at subscription pricing, with complimentary diagnostics reviews demonstrating ROI potential.
Differentiator
Problem solved
Functional benefit
Products and services
- Medicare DSH Robust, accurate eligibility reports used by hospitals and consultants to support Medicare Disproportionate Share Hospital (DSH) claims across the country. Includes SSI realignment services for Supplemental Security Income percentage recalculations.
- SSI Realignment Supplemental Security Income (SSI) percentage realignment service that allows disproportionate share hospitals to evaluate and request SSI realignment going back to the inception of the DSH regulations, regardless of the 3-year reopening window.
- 340B Medicare Advantage Underpayments Provides actionable evidence of payor- and patient-specific, line-item underpayments from Medicare Advantage plans for 340B drugs from 2018-2022, supporting recovery through negotiation, mediation, arbitration, or litigation.
- Medicare Bad Debt Maximizes compliant Medicare Bad Debt reimbursement by validating hospital-identified Medicare Bad Debt and discovering previously-unidentified Medicare Bad Debt through the proprietary GDS MBD process, integrating disparate data sources for MAC and CMS submission.
- Worksheet S-10 Uncompensated Care Accurately quantifies Worksheet S-10 uncompensated care amounts using GDS's proprietary process, maintaining separate categories for non-Medicare accounts, self-pay accounts, and charity/indigent accounts to reduce audit risk and maximize reimbursement.
- Transfer DRG Identifies and recovers Transfer DRG underpayments by detecting misidentified transfers and facilitating rebilling to capture full DRG payments. GDS has recovered nearly $100 million in Transfer DRG underpayments for claims dating back to Federal Fiscal Year 2005.
- Medicare ID & Shadow Billing (MAIDs) Exclusive data mining solution (MAIDs) that identifies Medicare fee-for-service and Medicare Advantage inpatient days for which traditional claims or Shadow Bills have not been submitted, maximizing EHR incentive payments, DGME, and IME reimbursements.
- MBI ID Finder Proprietary service that locates Medicare Beneficiary Identifiers (MBIs) and demographic data needed to match the Common Working File for Medicare beneficiaries, enabling proper Medicare billing and potentially increasing Medicare revenues by 1% to 3% annually.
- MIDaS Insurance ID Industry-leading batch eligibility verification service with extended search capabilities, cutting-edge data analysis, and scrubbing methodologies for Medicaid and Medicare eligibility matching across inpatient and outpatient accounts.
- Annual Wellness Visit Medicare Annual Wellness Visit identification service that screens Medicare Part B patients to identify those overdue for AWV, enabling practices to increase visit completion rates and quality measure performance.
- Eligibility & Other Services Includes Medicaid and Medicare Eligibility Verification, 340B Support, Paid Claims Listing Creation, Eligible-by-proxy Baby Matching, and SSI Data Acquisition services for hospitals and consultants.
- Bundle & Save Subscription Subscription offering that bundles multiple GDS services (340B MA Underpayments and others) at budget-friendly monthly, yearly, or quarterly rates, with simplified single-invoice billing and customized fee arrangements available.
- GDS Diagnostics Review Free, no-obligation diagnostic package including Medicare DSH, Medicare Bad Debt, and S-10 reviews that demonstrate proper reimbursement calculations, documentation, and identify missed opportunities for prospective clients.
Quantifiable outcome
- GDS has recovered nearly $100 million in Transfer DRG underpayments for claims dating back to FFY 2005, analyzing millions of claims for hundreds of hospitals.
- +4 more outcomes
Companies that use Government Data Services
Customer profileNamed customers3 records
Segments3 records
Ideal customer profiles3 records
Government Data Services technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature5 records
Government Data Services partnerships and signals
Strategic signalScale indicators5 records
Recent moves6 records
Expansion highlights5 records
Government Data Services competitors and assessment
Company assessmentDirect peers
- BESLER: BESLER is a closely comparable healthcare reimbursement consulting firm offering Medicare Bad Debt, Transfer DRG, DSH, SSI, S-10, and 340B recovery services to US hospitals — overlapping directly with most of GDS's core product lines.
- PYA (Pershing Yoakley & Associates): PYA provides healthcare consulting including Medicare reimbursement, DSH/SSI, 340B, and revenue cycle services to hospitals — directly comparable to GDS's core advisory offerings.
- Visante: Visante specializes in 340B Drug Pricing Program consulting, pharmacy operations, and hospital revenue optimization, directly competing with GDS in 340B-related advisory work.
Broad incumbents
- FORVIS (formerly BKD): FORVIS is a top-10 US accounting and advisory firm with a large healthcare consulting practice covering Medicare cost reports, reimbursement optimization, and revenue cycle work for hospitals and health systems.
- nThrive (FinThrive): FinThrive (formerly nThrive) is a broad healthcare revenue cycle management technology and services vendor serving hospitals with end-to-end RCM, eligibility, and reimbursement solutions.
- Cotiviti: Cotiviti is a payment integrity and analytics vendor for health plans and providers, with capabilities in claims accuracy, eligibility, and reimbursement analytics that intersect with GDS's services.
- Waystar: Waystar is a leading healthcare revenue cycle technology platform offering eligibility verification, claims management, and patient billing — providing cloud-based RCM capabilities that overlap with GDS's eligibility and reimbursement work.
- R1 RCM: R1 RCM is a large-scale healthcare revenue cycle management company providing end-to-end RCM services and technology to US hospitals and health systems, competing broadly in the same provider reimbursement space.
- Deloitte (Healthcare Consulting): Deloitte's healthcare consulting practice serves large hospital systems with reimbursement optimization, cost report, and revenue cycle advisory services — a broader incumbent with overlapping capabilities to GDS.
Emerging players
- Strata Decision Technology: Strata provides hospital financial planning, decision support, and cost analytics software — adjacent to GDS's reimbursement and revenue cycle analytics focus, with overlap on hospital financial decisioning.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks1 record
Key highlights7 records
Customer concentration
Government Data Services social profiles
Digital presenceGovernment Data Services compliance and trust
Trust signalCompliance1 record
Government Data Services financial estimates
Financial estimateRevenue estimate
Valuation estimate
Government Data Services leadership team
Management profileNumber of profiles
Profiles1 record
Government Data Services funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Government Data Services M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Government Data Services
What does Government Data Services do?
Government Data Services (GDS) is a professional services firm that helps U.S. hospitals and health systems maximize Medicare reimbursement and recover underpayments through proprietary data analytics and regulatory expertise. Services span Medicare DSH reporting, SSI realignment, 340B Medicare Advantage underpayment quantification, Medicare Bad Debt validation, Worksheet S-10 uncompensated care analysis, Transfer DRG recovery, MBI resolution, batch eligibility verification, and shadow billing. Engagements are delivered as consulting projects with GDS performing all analytical work and producing MAC-approved, audit-tested documentation, available individually or via a subscription bundle.
Is Government Data Services a public or private company?
Government Data Services is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Government Data Services founded?
Government Data Services was founded in 2006. It employs 501 to 1,000 people.
Where is Government Data Services based?
Government Data Services is headquartered in Akron, United States, in the North America region.
How does Government Data Services make money?
Two revenue lines are on record. Professional Services - Reimbursement & Revenue Cycle is the primary driver. The others are subscription Services - Bundle & Save.
Who are Government Data Services's main competitors?
Direct peers on record are BESLER, PYA (Pershing Yoakley & Associates) and Visante. Broad incumbents are FORVIS (formerly BKD), nThrive (FinThrive), Cotiviti, Waystar, R1 RCM and Deloitte (Healthcare Consulting). Strata Decision Technology is listed as an emerging player.
Does Government Data Services have an API?
No public API is recorded for Government Data Services.
What industry is Government Data Services in?
Government Data Services's product category is Healthcare Reimbursement & Revenue Cycle Services. Its primary akta.pro industry code is HLAEALAO, Government Program Administrative Services (Medicare/Medicaid ASO/TPA), with a secondary code of HLAEADAG, Medigap Claims Processing & Coordination of Benefits (COB). Its NAICS code is 524292 and its SIC code is 6324.