Revenue Cycle Management / Specialized Care Providers

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

Revenue Cycle Management

Health Systems Management Network, Inc. has provided Revenue Cycle Management Services to clients as diverse as Long-Term Acute Care, Ambulatory Care Centers, Physicians Centers of Excellence, and Dialysis Centers.

HSMN will provide a financial and operational analysis to determine whether reimbursement has been appropriate.
HSMN’s review will also include billing compliance to be sure that all third party requirements are met.
HSMN will conduct a thorough review of procedures, workflows and tools used in the encounter, documentation, and billing cycle.
HSMN will review staff capability and training.
HSMN will perform a front- to back-end review of the Special Provider business operations with a view to structuring an effective management plan.
HSMN engages the staff on site to see the world through their eyes and better understand the issues.
- HSMN also works with very large organizations to see how Regional administration is translated into local procedures and processes.
- HSMN will work with both regional and local sites to implement a workplan based upon findings and in concurrence with staff.


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