Revenue Cycle Management Services for Hospitals

35+

Years of Expertise

1989

Serving Healthcare Since

U.S.

Based, Credentialed Staff

Specialty Service Lines

Overview

Capture More of What You Have Already Earned

For more than 35 years, HMI’s revenue cycle consultants have helped healthcare organizations identify reimbursement opportunities, recover missed charges, and resolve the compliance gaps that quietly erode margin. We review your revenue and usage data, pinpoint where charges or codes are missing, and quantify the revenue impact of non-compliant areas — then give your team a clear, prioritized path to correcting them.

Our specialists are 100% U.S.-based and credentialed (RHIT, CCS, CPC, CHC), with deep working knowledge of CMS rules, MAC/FI guidance, and the realities of your facility type and payer mix. Whether you operate an acute care hospital, a critical access facility, or a multi-specialty group, we tailor every engagement to how your organization actually runs.

What’s Included

A Full Range of Revenue Cycle Support

On-Site & Remote Consultation

CDM updates, bill audits, rejected-claim resolution, operational assessments, and process improvement — delivered on-site or remotely to fit how your team works.

Charge Capture Review

A full medical-record review for observation hours, drug administration, and procedural services, calculated in accordance with current CMS guidance.

ED Facility E/M Services

Development of a resource-based criteria and charging tool to assign emergency-department visit levels objectively, with staff education for CMS compliance.

Ambulatory Surgery (ASC) Claims Review

Validation of CPT®/HCPCS and ICD-10-CM coding and modifiers against documentation, including assessment of medical-necessity support.

Ground Ambulance Claims Review

Validation of HCPCS codes, origin and destination modifiers, loaded mileage, and reported diagnoses against the patient trip record.

Home Health & Hospice Claims Review

Comprehensive documentation review — HIPPS code, visit disciplines, OASIS, plan of care, and certification — validated against the final billed claim.

SNF & IRF Records Review

Medical-record review confirming appropriate charge capture, medical necessity, and CMS documentation requirements, including the MDS and IRF-PAI.

Coding & Billing Helpline

Email access to our specialists for day-to-day coding and billing questions, answered with the most current CMS guidance — typically within 72 hours.

Why It Matters

The Difference a Focused Review Makes

Recover Earned Revenue

Surface charges and codes that were performed but never captured — and correct billing errors that quietly erode reimbursement.

Reduce Compliance Risk

Identify and address areas of non-compliance before they become audit findings or repayment demands.

Sharpen Data Accuracy

Cleaner charge, code, and modifier data strengthens every downstream report and payer interaction.

A Partner Who Knows Your Setting

Specialists who understand your facility type, payer mix, and regulatory environment — not generalists.

“

HMI has been a great partner with MedStar Washington Hospital Center for many years. We can always count on them to support us on projects small to very large — delivering consistent, honest results and thoughtful, targeted education for our physicians.

Purvi JaniAVP, Reporting & Revenue Cycle · MedStar Washington Hospital Center

How We Work

A Clear, Collaborative Engagement

Assess

We review your revenue and usage data, charge capture, and clinical documentation across the services in scope.

Identify

We pinpoint missing charges, coding and modifier gaps, and compliance exposure — with the financial impact quantified.

Recommend

You receive prioritized, plain-language findings and the education your team needs to act on them.

Support

Ongoing helpline access and follow-up keep improvements in place long after the engagement ends.

Frequently Asked Questions

Revenue Cycle Management, Answered

What does revenue cycle management consulting actually involve?

We review your revenue and usage data, charge capture, and medical-record documentation to find missing charges, coding gaps, and compliance exposure — then deliver prioritized, actionable findings and the education to sustain them. Engagements can be a focused one-time assessment or ongoing support.

How does HMI identify missing or under-captured revenue?

Our specialists compare documentation against final billed claims across services such as observation, drug administration, ED facility E/M, ASC, and ambulance — validating CPT®/HCPCS codes, revenue codes, and modifiers against current CMS and MAC guidance to surface charges that were performed but never captured or were billed incorrectly.

Will you work with our facility type?

Yes. We support acute care, critical access, and teaching hospitals, long-term acute care, inpatient rehab, skilled nursing, home health, hospice, ambulatory surgery centers, physician groups, and EMS/ambulance providers — tailoring each review to the setting's rules and payer mix.

Are your consultants U.S.-based and credentialed?

Every HMI specialist is 100% U.S.-based and holds industry credentials such as RHIT, CCS, CPC, and CHC. We do not offshore coding or review work.

Is there ongoing support after the review?

Yes. Engagements can include our Coding & Billing Helpline, where our specialists answer day-to-day coding and billing questions by email — supported by the most current CMS guidance — typically within 72 hours.

Related Services

Explore More of What We Do

Ready to Strengthen Your Revenue Cycle?

Let’s Find the Revenue
You’re Leaving Behind

Talk with an HMI specialist about a revenue cycle assessment tailored to your facility type, payer mix, and goals.

Schedule a Consultation (844) 446-9176

Revenue Cycle Management Services That Keep Your Billing Running Cleanly