35+
Years of Expertise
1989
Serving Healthcare Since
U.S.
Based, Credentialed Staff
All
Facility Types Served

Overview

Built for the Complexity of Acute Care

Acute care hospitals manage some of the most demanding revenue cycle environments in healthcare — high inpatient and outpatient volumes, MS-DRG and OPPS reimbursement, observation determinations, and a chargemaster that touches every department. Small gaps in charge capture, coding accuracy, or documentation can add up to significant lost or at-risk revenue.

For more than 35 years, HMI has helped acute care hospitals tighten every link in that chain — from inpatient and outpatient coding to chargemaster integrity and compliance — with 100% U.S.-based, credentialed specialists who know how acute care actually operates.

The Challenge

What Acute Care Hospitals Are Up Against

MS-DRG & Coding Accuracy

Correct principal and secondary diagnosis sequencing, POA indicators, and discharge disposition drive MS-DRG assignment — and errors directly affect reimbursement and audit exposure.

OPPS Charge Capture

High-volume outpatient and ancillary services make missed charges and modifier errors easy to accumulate and hard to find without a structured review.

Observation & ED Facility E/M

Observation hour calculation and resource-based ED facility E/M leveling require consistent, defensible methodology to stay compliant.

RAC & Audit Exposure

Acute care volume draws Recovery Audit Contractor attention — documentation that supports every billed service is essential.

We have utilized HMI since 2002 for consultation services related to chargemaster review and updates, and have always found their services to be professional in nature and valuable to our organization.

David AlleyChief Financial Officer · Star Regional Medical Center, Athens, TN

Frequently Asked Questions

Acute Care Hospitals, Answered

Can HMI support both inpatient and outpatient coding?
Yes. We provide credentialed coding and coding-quality review across inpatient/MS-DRG and outpatient/OPPS services, including contract coding to cover backlogs and staffing shortages.
Do you help with ED facility E/M and observation?
Yes. We help develop and apply resource-based criteria for ED facility E/M leveling and calculate observation hours in accordance with current CMS guidance.
Can you help us prepare for or respond to RAC audits?
Yes. Our compliance specialists review RAC findings against the medical record and final billed claim and can support appeals where the documentation warrants it.
Is your team U.S.-based and credentialed?
Every HMI specialist is 100% U.S.-based and holds industry credentials such as RHIT, CCS, CPC, and CHC.

Support Built for Acute Care

Strengthen Every Link
in Your Revenue Cycle

Talk with HMI about coding, chargemaster, and compliance support tailored to your acute care hospital.