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HMI | Critical Access Hospital Comprehensive Review for Reimbursement
Critical Care Access

Critical Care Access

A hospital certified under a set of Medicare Conditions of Participation (CoP). Some of the requirements for CAH certification include having no more than 25 inpatient beds; maintaining an annual average length of stay of no more than 96 hours for acute inpatient care; offering 24-hour, 7-day-a-week emergency care; and being located in a rural area, at least 35 miles drive away from any other hospital or CAH.

We provide the following services to Critical Care Access Facilities:

Chargemaster Maintenance
Physician/Provider Claims Review
Comprehensive Chargemaster Update
Physician Office Services
Outpatient/Ancillary Chargemaster Update
Single Department or New Service Chargemaster Update
Inpatient Coding Reviews
Outpatient Coding Reviews
Contract Coding Services
Coding and Billing Helpline
Charge Capture Services
Emergency Department (ED) Facility E/M Services
Ground Ambulance Claims Review
Charge Capture – Other Ancillary Services
Recovery Audit Contractor (RAC) Preaudit or Appeal Services
Independent Review Organization (IRO) Claims Review
Education and Training
Clinical Documentation Assessments and Review
Case Management and Denial Services
Charge Capture – Physician Services