For Physician Practices - Revenue Cycle Management

Case Histories Revenue Cycle Management
Health Information Management Coding/Billing Services
Practice Management Compliance Education
Web-based Solutions

Revenue Cycle Management

Health Systems Management Network, Inc. provides a comprehensive practice review that includes an analysis of all encounter documentation, billing and reimbursement issues.

Medical record documentation and bills are reviewed to assure compliance with third party guidelines, especially Medicare.
Remittances are examined to determine why payment has been denied or diminished.
All billing tools are examined to assure accuracy of current coding and consistency with Evaluation and Management Guidelines.
HSMN reviews the current billing system in place to determine whether it is robust enough to support the practice.
HSMN’s review includes a determination of practice compliance with the Office of the Inspector General (OIG) Small Practice Compliance Plan.
After completing reviews, HSMN determines whether or not staff is skilled enough to correct issues uncovered in the analysis.
HSMN provides guidance to the Practice staff on all billing and coding issues.
HSMN reviews billing and collections to determine whether the level of Accounts Receivable is acceptable for the size and needed revenue stream of the practice.
Finally, HSMN reviews the overall Practice Management to determine suitability, effectiveness and competence of the current structure.
- HSMN will provide a Comprehensive Management Plan and can help with its implementation.


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