"I have had the privilege of working with HMI for twenty plus years and have always found their representatives to be professional and knowledgeable in all aspects of acute hospital and professional service charge master management. Additionally ongoing coding related reviews and billing reviews and associated report backs are timely and positively impact appropriate revenue capture - billing - and compliance." "I recommend HMI to be considered when choosing a partner to assist with the...
Greg Yost, PFS Director Princeton Community Hospital, Princeton WV
We have utilized HMI Corp. since 2002 for consultation services related to chargemaster review and updates and have always found their services to be professional of nature and valuable to our organization.
David Alley, CFO Athens Regional Medical Center, Athens TN
We recently transitioned to HMI from another Physician Documentation & Coding Compliance Review vendor, and the entire experience has been positive. HMI has been extremely accommodating throughout the process and has demonstrated a willingness to adapt to our workflows, leading to a seamless transition. We’ve received positive feedback from our providers about their experiences with HMI, and the Coding Hotline has been an invaluable resource. For anyone looking for a new consulting partner,...
Dawn Chrismer, RHIT, CHC, CCS-P Director of Business Services/Compliance Officer Heritage Medical Associates, Nashville, TN
HMI has been a very reliable resource for Princeton Community Hospital for many, many years. I have had the opportunity to work with many staff members and have found all to be reliable and courteous in every aspect. The staff is very flexible and provides Princeton Community with the support and coding stability needed. Thank you for the sometime short notices for coding coverage when unexpected situations arise with our staff. We thank you for your coding expertise as well as your...
Denise Moore, CCS Coding Manager Princeton Community Hospital
I’ve worked with HMI employing them to conduct audits of physician documentation and coding. They have consistently produced quality work in a very timely fashion with reports that were well written and easy to understand. Communication has always been prompt and effective. I have such confidence in their work that, over the years, I brought them from my prior location to my current location. I would recommend HMI to anyone in need of accurate and timely coding or auditing.
Robert C. Kay, RRT, MBA, MJ, CHC, CPC-A Chief Compliance Officer St. Christopher\'s Hospital for Children
“I have had the privilege of working with HMI over the past 10+ years with two different health systems. I have used HMI for hospital CDM and compliance reviews as well as physician coding reviews and education. I always receive top-notch service from the HMI team and I appreciate working with a partner that is always honest and responsive to my questions and needs. I have worked with Mary Quimby and Vickie Faler and both have proven to be very knowledgeable, accessible, and...
Rodney Adams, MMCH, Associate Administrator of Finance Williamson Medical Center
HMI has been a great partner with MedStar Washington Hospital Center now for many years. We can always count on them to provide us with support on small to very large projects. HMI delivers consistent and honest results and additionally provides very thoughtful & targeted education to our physicians.
Purvi Jani AVP Reporting and Revenue Cycle MedStar Washington Hospital Center
Having worked in healthcare revenue cycle for more than three decades, I have partnered with many vendors. My vendor of choice for CDM Review, E/M Coding Compliance and Physician Education is without a doubt HMI, LLC. Mary Quimby and Vickie Faler are not only subject matter experts, they are true partners providing that extra level of service that sets them far above others in the industry. I have worked with them for 15+ years in 5 different acute facilities, and multi-specialty physician...
MaryAnn Hastings, CPMA, Director Revenue Cycle Operations, Galen Medical Group
We have been working with HMI since 2010 and have expanded the use of their services to include CDM and ED Coding. The HMI coding staff is extremely knowledgeable and has become an integral part of our coding team. Our consultant Beth never shies away from any CDM project that comes her way. We appreciate the professionalism and teamwork we have with HMI.
Janet Willis, Director of Revenue Management, Monadnock Community Hospital
We have utilized HMI’s for chargemaster compliance and billing reviews for nearly 10-years. We have always found that their staff to be knowledgeable, resourceful and professional in all services provided to our organization.
Jessica Mayfield, Manager Revenue Management University of Missouri Health Care
How Healthcare Revenue Cycle Consulting Services Help Maintain Compliance
Healthcare Revenue Cycle Consulting Services in Compliance
With today’s complex regulatory requirements, compliance is more important than ever for healthcare organizations.
That’s why leading healthcare organizations hire healthcare revenue cycle consulting services to help maintain compliance.
Today, we’re explaining how healthcare revenue cycle consulting services like HMI Corp. help organizations maintain compliance at every level of a healthcare organization.
What is Healthcare Compliance?
Compliance means meeting or exceeding the standards set for legal, ethical, and professional operation of healthcare organizations.
Any organization handling electronic protected health information (ePHI) is required to maintain compliance by implementing appropriate processes, policies, and procedures.
Consulting Services Help Maintain Compliance in 7 Targeted Areas
The Department of Health and Human Services (HHS) and the Office of the Inspector General (OIG) have identified seven areas where healthcare organizations should focus for compliance. By focusing on these areas today, organizations can avoid healthcare issues in the future.
An effective healthcare compliance program must, at the very least, address the following seven areas:
• Development, distribution, and implementation of written standards of conduct and written policies and procedures that explain the organization’s commitment to meeting and exceeding legal and ethical standards of compliance
• Designation of a chief compliance officer and other appropriate committees and individuals dedicated to maintaining compliance at every level
• Development and delivery of effective employee education programs
• Development and maintenance of effective lines of communication for reporting of compliance concerns
• Development and implementation of an effective response system or discipline system when compliance issues are identified with specific employees
• Development of internal auditing and monitoring system to observe and maintain compliance
• Creation of appropriate response system to quickly fix detected compliance issues
Consulting companies – including HMI Corp. – can help organizations develop or improve all seven of these areas.
How Healthcare Organization Compliance Assessments Work
A consulting company can perform a compliance assessment on your organization. An assessment determines where your strengths and weaknesses lie. Then, experts work to correct those weaknesses and improve those strengths.
During an assessment, experts will answer all of the following questions:
• How does the healthcare organization collect, receive, store, and transfer data?
• What does the current security system cover?
• What does the current security system not cover?
• What potential threats or vulnerabilities could disrupt the organization?
• What are the chances of a threat being carried out against the organization?
• How much would an attack cost if an attack were to occur?
Healthcare Organizations Are Required to Conduct Assessments Annually
Compliance assessments are not optional for healthcare organizations. The HIPAA Privacy Rule requires healthcare organizations to undergo assessments like the one above annually.
Healthcare organizations must collect this information, then compile a report on their findings.
Common Compliance Changes Required for Healthcare Organizations
Healthcare organizations have different compliance needs. Some of the most common areas of improvement required for healthcare organizations, however, include:
Standardizing Policies and Procedures: Healthcare organizations may have a mess of policies and procedures for different departments. This makes things difficult for staff. It’s more than just a compliance issue – it can also be an efficiency issue. Standardizing password management, PHI storage and usage, encryption, privacy, and other elements can vastly improve compliance.
Reviewing Access Control Clearance: Compliant healthcare organizations carefully limit access to sensitive files and patient data on the network. An assessment might recommend limiting access to data only to those who require data to do their jobs, for example.
Contract Coding and Medical Coding Issues: Liability issues related to coding can be significant. Coding and reimbursement are so complex and vital that healthcare organizations devote significant resources to doing it correctly. Unfortunately, many healthcare organizations still expose themselves to liability with various medical coding issues.
Claims Reviews: Many compliance issues involve problematic claims. This type of misconduct can be prosecuted civilly under the False Claims Act or under a range of criminal statutes – including healthcare fraud. Claims fraud cases are common targets for regulators and prosecutors, which is why it’s particularly important to review claims issues for compliance.
Good Compliance Saves Organizations
Compliance is crucial in any industry, but it’s particularly important in the healthcare space.
Every organization thinks they have good compliance standards until it’s too late.
Order a compliance assessment from HMI Corp today and determine exactly how and where your organization can improve all aspects of compliance.