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

Overview

Confident Coding for Independent & Employed Providers

Whether independent or hospital-employed, physician groups live and die by accurate E/M coding and clean documentation. Office and inpatient visit levels must be supported, superbills must reflect current CPT® and ICD-10-CM codes, and provider documentation has to hold up under payer and RAC review — all without slowing clinicians down.

HMI reviews physician and mid-level (NP, PA) documentation against the services billed, confirms the required elements are present, and closes gaps with one-on-one provider education — protecting revenue and reducing risk across every provider in the group.

The Challenge

What Physician Groups Are Up Against

E/M Documentation

Each billed E/M level must be supported by the documented encounter under current CMS Evaluation and Management guidelines.

Superbill & Code Currency

Office superbills and code sets drift out of date, quietly causing denials and compliance exposure.

Provider Variability

Documentation habits vary widely across MDs, NPs, and PAs — consistency requires direct, individualized education.

Audit & Denial Risk

Under- or over-coded E/M visits are a common trigger for payer scrutiny and recoupment.

We recently transitioned to HMI from another physician documentation and coding compliance vendor, and the entire experience has been positive. HMI adapted to our workflows for a seamless transition, our providers have shared positive feedback, and the Coding Hotline has been an invaluable resource. I would highly recommend HMI.

Dawn Chrismer, RHIT, CHC, CCS-PDirector of Business Services / Compliance Officer · Heritage Medical Associates, Nashville, TN

Frequently Asked Questions

Physician Groups, Answered

What does a physician E/M review include?
We validate each billed E/M visit code against the documented encounter note under current CMS guidelines, confirming MD, NP, or PA documentation supports the level reported.
Do you review our office superbill and processes?
Yes. We review office and inpatient E/M coding and billing, the office superbill, and staff policies and procedures to confirm compliance and current code use.
Do you provide provider education?
Yes. One-on-one education for providers and designated office staff is central to how we make improvements stick.
Do you work with NPs and PAs?
Yes. Reviews and education cover physicians and mid-level providers (NP, PA) alike.

Protect Provider Revenue

Help Every Provider
Code with Confidence

Talk with HMI about E/M review, coding, and provider education for your physician group.