"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
Unique Strategies Today’s Top Medical Organizations Use to Maximize Revenue
Medical Organizations Use to Maximize Revenue Using Revenue Cycle Management Consulting Services
Smart medical organizations do everything in their power to maximize revenue – from implementing new technologies to minimizing unnecessary costs.
Today, we’re highlighting some of the unique strategies America’s top healthcare organizations are using to maximize revenue.
They Get E/M Coding Right
The evaluation and management (E/M) patient visit is a crucial part of any healthcare organization.
Good healthcare organizations can maximize revenue by understanding how to properly document and code E/M patient visits.
Proper documentation and coding does more than just boost revenue; it also reduces the stress of audits and boosts the efficiency of staff.
A July 2019 article published in Medical Economics highlighted four ways healthcare organizations can boost revenue by getting E/M coding right, including:
Ensure the E/M code supports the specific patient encounter. Not every patient with asthma, for example, will justify reporting CPT code 99213.
Refer to E/M guidelines when assigning codes. Assigning E/M codes is not a subjective process. Many physicians under-document E/M level 4 and 5 visits for new patients, for example. Follow E/M guidelines for coding and billing.
Use copy and paste functionality carefully. Some healthcare organizations get into trouble by over-utilizing the copy and paste functions. A physician who automatically copies and pastes historical information from a previous encounter into a current note, for example, may accidently inflate the E/M level.
Be cautious with pre-populated EHR templates. Pre-populated templates can lead to upcoding – say, when certain body systems are always indicated as having been reviewed even when they’re not relevant to the current encounter. These templates can also lead to contradictions that lead to red flags with payers – say, if a physician diagnoses a patient with strep throat and uses a default ear, nose, and throat exam template, opening the door for a post-payment audit.
Implement better E/M coding practices into your healthcare organization to boost revenue.
They Optimize Charge Capture Services with Artificial Intelligence
A recent study showed most healthcare executives believe charge capture is essential, yet 40% discuss it just once a month or less and only 8% discuss it daily.
Charge capture is obviously critical for revenue generation within healthcare organizations.
That’s why some leading healthcare organizations have started using unique strategies to optimize charge capture services: they’ve started to implement artificial intelligence.
AI-powered charge capture services are helping to boost staff efficiency for providers while also encouraging greater self-sufficiency for consumers.
It’s part of a widespread trend of healthcare organizations using AI to enhance revenue. Today, AI is helping companies revamp everything from registration to scheduling to billing.
Artificial intelligence automates significant parts of the charge capture service cycle, freeing staff from tasks that are important – but also time-consuming and redundant. Thanks to the latest AI technology, organizations have reduced labor costs and recovered leaked revenue while focusing on both high-dollar and low-dollar accounts.
They Comprehensively Maintain the Chargemaster to Prevent Revenue Leakage
The hospital chargemaster is the heart of a hospital’s revenue generation. That’s why it’s so surprising to see some healthcare organizations fail to adequately maintain their chargemaster.
Inadequate or poorly-maintained chargemasters can lead to overpayments and underpayments, claims rejections, and compliance violations, among other issues.
Chargemaster maintenance is a continuous process that ensures all services are accurately charged. Good maintenance involves reviewing and updating the chargemaster to ensure the hospital is compliant with government pricing regulations, for example, and ensuring the organization receives accurate reimbursement.
As public and private payers continuously update or change coding and reimbursement rules, chargemaster maintenance can become particularly challenging. Smart healthcare organizations, however, solve these challenges to optimize revenue.
They Confirm Compliance with CMS and Regulations
Poor compliance can quickly lead to poor revenue. Smart organizations confirm compliance regularly to ensure revenue flow remains strong.
One of the best ways to confirm compliance is to conduct a code review.
HMI Corp specializes in code reviews for inpatients, outpatients, and E/M coding to ensure compliance. We can comprehensively review your organization for compliance issues, then explain exactly what needs to be changed to optimize revenue.
One of the best ways to maximize revenue, of course, is to minimize costs. Medical organizations can minimize costs in all different ways.
Discover how your healthcare organization can minimize costs and maximize revenue. Schedule a consultation with HMI Corp today. We have proven expertise offering healthcare revenue cycle management consulting services and chargemaster reviews among other revenue-boosting services.