Revenue Cycle Management

Revenue Cycle Management

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HMI’s Consultants review revenue and usage data to identify reimbursement enhancement opportunities, reduce costs and improve outcomes. We also identify missing charges/codes and address revenue impact associated with areas of non-compliance.

Medical Coding Services

Medical Coding Services

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Our U.S. based, certified coding specialists are qualified to assist our clients by providing the full-range of Medical Coding Services to help quickly and efficiently reduce coding backlogs, provide back-up support during staffing shortages, and perform on-going coding support services.

Physician Services

Physician Services

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HMI Specialists provide review of Physician E/M coding and billing, super bills, documentation requirements, and policies and procedures. Provider education regarding billing, coding and documentation is provided.

Chargemaster Services

Chargemaster Services

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HMI Consultant Specialists provide comprehensive chargemaster reviews with updates, remote reviews, and either on-site or remote chargemaster management.

Compliance Services

Compliance Services

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HMI specialists provide comprehensive review, guidance, and process improvement instructions regarding meeting and maintaining compliance with Medicare rules and regulations. In addition, HMI provides assistance in Recovery Audit Contractor (RAC) pre-audit or appeals and assist in claims adjustment for all payors.

Case Management Services

Case Management Services

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HMI can provide pre admission review, provide case management review for medical necessity, and provide physician advisors for review and appeals of denials.

				
			
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HMI

Realizing that healthcare is rapidly transitioning to a value based system in which payment is aligned with the quality of patient care, HMI strives to provide a holistic approach in partnership with our clients to develop processes to achieve this balanced end result.

HMI was founded in 1989 in Brentwood, Tennessee, initially focusing on Revenue Cycle consulting Services and Chargemaster Reviews. Over the years, HMI transitioned into a diversified healthcare company assisting providers in reducing costs and improving financial health and compliance through a wide range of services which include providing contract coding and coder quality reviews; improving professional staff clinical documentation and compliance; and providing revenue cycle services which include Charge Capture, Chargemaster Reviews, Bill Audits, and Claims Reviews.

Our clients vary in size from physician groups to large teaching hospitals and are distributed across the entire country.

HMI assists its clients in meeting revenue goals while maintaining quality and compliance standards.

HMI SERVICES INCLUDE THE FOLLOWING:

  • REVENUE CYCLE SERVICES: Provide claims review, bill audits, charge capture services, and chargemaster review and updates.
  • CODING SERVICES: Provide contract coding including inpatient, outpatient, same-day surgeries, ancillary departments, and physician E/M. All coding services provided by U.S. based credentialed coding staff.
  • PHYSICIAN SERVICE: Validation of E/M visits coded and billed – confirming compliance with CMS rules and regulations. Review accuracy and completeness of clinical documentation. Provide educational services for staff.
  • COMPREHENSIVE CHARGEMASTER SERVICES
  • COMPLIANCE SERVICES: Review of coding for Inpatients, Outpatients, and E/M coding to assure compliance. Provide follow-up reviews.
  • CASE MANAGEMENT SERVICES

HMI assists its clients in meeting revenue goals while maintaining quality and compliance standards.

Our continuing success is achieved through meeting established objectives and delivering results in a timely and cost effect manner.

If you would like more information, please contact us at 1-800-659-5145 or email us at info@hmi-corp.com. We look forward to hearing from you!