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

Overview

Big-Hospital Expertise, Right-Sized for Rural Care

Critical access hospitals (CAHs) are the backbone of rural healthcare — and they operate under their own rules. Cost-based reimbursement, swing-bed care, and Method I and II professional billing all demand accuracy, often with a small HIM and coding team wearing many hats. A single open coding position or a documentation gap can ripple straight to the bottom line.

HMI gives critical access hospitals access to the same credentialed, U.S.-based expertise that large systems rely on — scaled to your size. Whether you need ongoing coding support, backup during a vacancy, or a compliance review, we help rural providers protect the revenue that keeps their doors open.

The Challenge

What Critical Access Hospitals Are Up Against

Cost-Based Reimbursement

CAH reimbursement tied to reported cost makes accurate charging, documentation, and cost-report support especially important.

Swing-Bed Documentation

Swing-bed care requires documentation and coding that correctly reflect the level and necessity of care provided.

Lean HIM & Coding Teams

Small teams feel every vacancy and PTO gap — backlogs build quickly without dependable backup support.

Broad Compliance Burden

Limited staff still carry the full weight of coding, billing, and Medicare compliance expectations.

We have been working with HMI since 2010 and have expanded our 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. We appreciate the professionalism and teamwork we have with HMI.

Janet WillisDirector of Revenue Management · Monadnock Community Hospital

Frequently Asked Questions

Critical Access Hospitals, Answered

Can you cover a coding vacancy at our CAH?
Yes. We provide credentialed contract coders and coding-quality review to cover vacancies, leaves, and backlogs — often on short notice — so a single open seat doesn’t stall your revenue cycle.
Do you understand swing-bed and cost-based requirements?
Yes. Our specialists are experienced with the documentation and coding considerations specific to critical access hospitals, including swing-bed care.
Is HMI affordable for a smaller rural hospital?
We scale engagements to your size and needs — from a focused review to ongoing support — so you get large-system expertise right-sized for a CAH.
Can you provide interim HIM leadership?
Yes. Our HIM Director Services can provide experienced interim leadership to keep coding, documentation, and compliance on track during a transition.

Support Sized for Rural Care

Protect the Revenue
That Keeps Your Doors Open

Talk with HMI about coding, revenue cycle, and compliance support right-sized for your critical access hospital.