Health Information Management

An important focus of Health Systems Management Network, Inc.’s practice is its concentration on Physician practice opportunities:

  • Clinical documentation is at the heart of the Office of the Inspector General (OIG) focus on Physicians. What HSMN can do for you is:
    • Provide a comprehensive service that carefully reviews clinical documentation, especially those elements that support E&M coding guidelines.
    • Review the bills, the levels of service, the diagnoses, and procedures performed in the documentation.
    • Work with the individual physicians in the practice, by specialty, to review with them their documentation practices both in the office and in the hospital.
    • “Round” with physicians to better understand how they arrive at the levels of service for which they are billing.
      • HSMN’s experience is that physicians often err in determining levels of service because they “feel” like they haven’t done enough to meet the criteria and are afraid.
      • HSMN helps the physician to make judgments based upon criteria that are objective and that will support the billing levels.
  • HSMN’s experienced staff is also qualified to provide Interim management in this field, as well as any other field in which HSMN provides consulting.
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