Coding/Billing Services
Health Systems Management Network, Inc. provides comprehensive
reviews of coding and billing processes for specialized providers.
- Based on a year of data, HSMN will select cases retrospectively
and thoroughly review documentation, service levels, bills and
remittances for accuracy.
- HSMN reviews use of charge tools, process workflows and staff
roles in the billing.
- HSMN also reviews Systems issues to determine whether data pass
accurately from source documents to final bill.
- HSMN carefully reviews need of staff training, especially for
Medical Necessity.
- HSMN reviews accuracy of tools to determine whether new or additional
tools are necessary, especially as they relate to compliance issues
for the particular specialized services.
- HSMN designs monitoring programs, and trains staff on their
use so that indicators in use will point out problems and issues
as they happen.
- HSMN will redesign the coding and billing workflows with new
tools and systems interface for success.
- HSMN works closely with the medical staff and other clinical
staff to bring everyone up to standard.
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