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

Overview

Defensible Leveling for High-Acuity Care

Free-standing emergency departments deliver high-acuity care around the clock — and their reimbursement depends on consistent, defensible facility E/M leveling and complete charge capture. Without an objective, resource-based methodology, ED visit levels drift, charges slip, and compliance exposure grows.

HMI helps free-standing EDs develop and apply a facility resource-based criteria and charging tool for objectively assigning ED visit levels and procedures, with education for staff on outpatient ED services and CMS compliance — so every visit is leveled consistently and captured completely.

The Challenge

What Free-Standing EDs Are Up Against

Facility E/M Leveling

ED visit levels must be assigned objectively using resource-based criteria to stay consistent and compliant.

Complete Charge Capture

High-volume, high-acuity care makes missed charges and procedures easy to accumulate.

Coding Accuracy

CPT®/HCPCS and diagnosis coding for emergency services must be validated against documentation.

Compliance Exposure

Inconsistent leveling and documentation gaps invite payer scrutiny and denials.

HMI has been a great partner 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.

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

Frequently Asked Questions

Free-Standing Emergency Departments, Answered

How does HMI support ED facility E/M?
We help develop and implement a facility resource-based criteria and charging tool for objectively assigning ED visit levels and procedures, with staff education on outpatient ED services for CMS compliance.
Can you help with charge capture?
Yes. Our reviews confirm that emergency services and procedures are captured completely and coded accurately against the documentation.
Do you provide credentialed ED coders?
Yes. All coding and review is performed by AHIMA- and/or AAPC-credentialed, U.S.-based specialists.
Can you cover a temporary coding gap?
Yes. We offer contract coding and review support to cover backlogs, vacancies, and surges.

Defensible, Complete ED Reimbursement

Level Every Visit
Consistently and Compliantly

Talk with HMI about ED facility E/M and charge-capture support for your free-standing emergency department.