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CLINICAL DATA, DOCUMENTATION AND MEDICAL RECORDS OPERATIONS 

Re-engineering of the medical record infrastructure, data-gathering and data-access methods will result in reduced paperwork, improved clinical data quality, reduced provider frustrations and the elimination of unnecessary procedures, uncaptured charges and payor rejections. 
 

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Health Systems Management Network, Inc. is a healthcare consulting firm specializing in the following practices: managed care. subacute care, patient flow and Medical information systems. Recent engagements have included assignments in electronic patient record management. development of electronic medical records which has positively affected medical and hospital billing systems and increased third-party insurance reimbursement. Our experience includes subacute and acute care, We are specialisists in case mix, case management, ambulatory care, and resource management. We are familiar with UB, length of stay issues and multiple issues relating to DRG and APC reimbursement. Our consultants have worked with in patient, out patient and TQM methods. More recently Health Systems Management Network, Inc has been pioneering work with APC, (All Patient Grouper). clinical data, clinical documentation benchmarking, critical paths and receivables. We work with utilization review. acute care hospitals. practice groups. ICD, ICD-9, ICD-9-CM, CPT, CPT-4, HCPCS, HCFA, medicare, referrals. JCAHO, claims, RBRVS, HMO, reimbursement, Joint Commission compliance, regulations, training, reengineering, (re-engineering) total quality management for both inpatient, outpatient. If you need consultants or consulting then you should contact Health Systems Management Network, Inc.