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

Overview

Accuracy Where Documentation Drives Payment

Under PDPM, a skilled nursing facility’s reimbursement is tied directly to assessment and documentation accuracy. The MDS must be filed on schedule, skilled care has to be clearly supported as medically necessary, and every billable service needs to be captured — all while clinical teams focus on resident care.

HMI’s specialists perform comprehensive medical-record reviews that confirm charges are captured appropriately, reimbursement reflects the services provided, and the schedule for filing the minimum data set (MDS) and claims is met — so documentation supports the payment you’ve earned.

The Challenge

What Skilled Nursing Facilities Are Up Against

MDS Accuracy & Timing

The minimum data set drives payment under PDPM and must be accurate and filed on schedule to avoid lost or at-risk reimbursement.

Medical-Necessity Documentation

Skilled care must be clearly documented as medically necessary to withstand payer and audit review.

Complete Charge Capture

Billable services and supplies are easy to miss without a structured medical-record review.

Survey & Audit Readiness

Documentation gaps create exposure during reviews and audits of skilled care.

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

Skilled Nursing Facilities, Answered

What does an SNF records review include?
Our specialists perform a comprehensive review of the patient medical record to ensure charges are captured appropriately, reimbursement is optimal for the services provided, and a schedule exists for filing the MDS and claims in a timely manner.
Do you understand PDPM requirements?
Yes. Our reviews focus on the assessment and documentation accuracy that drive payment under the Patient-Driven Payment Model.
Can you help confirm medical necessity for skilled care?
Yes. We review documentation to confirm that skilled services are supported as medically necessary.
Are your reviewers credentialed and U.S.-based?
Yes. Every HMI specialist is 100% U.S.-based and holds industry credentials.

Documentation That Supports Payment

Confirm Every Charge
and Every Assessment

Talk with HMI about SNF records review and coding support tailored to your facility.