Coding/Billing Services

Health Systems Management Network, Inc. provides Physician Practices with a comprehensive review of coding and billing practices.

  • Consistent with Office of Inspector General’s (OIG) suggestion that small and large practices have a compliance plan in effect, HSMN performs the following:
    • Reviews bills, coding and the remittances to determine accuracy and compliance.
    • Spends time with office staff to determine if they have an understanding of the billing and coding rules and to what extent they need training.
    • Provides on-site guidance to staff. Provides a working session with the physician(s) on billing practices.
    • Provides everything needed to satisfy the OIG requirements for internal compliance with Medicare Regulation.
    • HSMN sets up processes, orients staff and provides ongoing consultation as questions arise on billing and coding issues for the entire scope of the practice
    • HSMN guides the staff in implementing ongoing monitoring mechanisms.
APC Assessment
AR Outsourcing
Case Management
Cash Acceleration
Charge Master Review
Coding
Credit Balance Resolution
Denied Claims Management
Documentation Practice Assessment
DRG/Case Mix
Electronic Medical Records
Evaluation and Management
Interim Management
Medical Necessity
Medical Records
Medical Staff Relationships
MIS Consulting
Operational Assessment
QA / UR
Revenue Cycle Partnerships
Training / Knowledge Transfer
Web-based Training