For the last 30 years, Health Systems Management Network has worked with many of the academic medical centers throughout the country on each and every iteration of the DRG, APC and now the ICD-10 transition. Our work and methods have been developed over many years and clients. HSMN has worked successfully to improve net revenue, reduce denials and improve cash flow.
Now there is a confluence of events that demand attention – the implementation of enterprise wide systems such as Epic and the transition to ICD-10. Our firm and our ICD-10 Certified Trainers, have worked on all levels: reviewing and cleaning up work queues, finding root causes for denials, training coders based on our findings and working with the medical staffs to transition them to ICD-10. HSMN utilizes advanced analytics at the macro and micro levels to uncover the clues for claim failures as they move through multiple work queues. In shaping solutions, we define the new mission, help structure and train for the roles that will successfully carry it. Once ICD-10 starts, HSMN will provide auditing for its clients to determine how well the process and the staff are doing. We welcome the opportunity to be of service where the dollars matter.
Who we serve & what we do
We serve hospitals all across the country and their medical staffs in making significant improvements to cash flow, reduction of denials and improvements to Net Revenue. Our company is niched and only the partners and principals work with the clients. All of our staff are credentialed in all of the disciplines essential to success. Our client list is long and deep.
For Hospitals
HSMN’s approach to hospital management consulting is firstly, understanding who the client is. Without taking the time to connect with the people of the organization and understand the goals of the key “Stakeholders” regardless of the “Engagement Client”, no consulting process can be successful.
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Revenue Cycle ManagementClaims data analysis, organizational structure, role assignments, and Performance Reviews |
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Clinical Information ManagementDocumentation Practice Assessments, especially after Epic implementation and the ICD 10 transition. |
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Organizational AssessmentReview of roles and functions, performance review and organizational restructure. |
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Medical Coding/BillingICD-10, Coding, Billing, Medical Necessity and more. |
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Financial & Revenue Management ConsultingDenials Management, AR Consulting, Cash Acceleration and more. |
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Compliance & RiskCreating a bridge between IT and Physicians, Evaluation and Management and more. |
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Interim Management of the Revenue CycleDetermine leadership requirements and organizational structure. |
For Physician Practices
We have assisted large and small faculty practices, individual and small practices with an evaluation of their claims processing, especially coding quality, compliance and we look carefully at revenues to see if all claims are paid properly. We work closely with each member of the staff on patient flow and data collection to assure correct billing and clean claims.
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Revenue Cycle ManagementClaims data analysis, organizational structure, role assignments, and Performance Reviews |
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Medical RecordsDocumentation Practice Assessments, especially after Epic implementation and the ICD 10 transition. |
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Practice AssessmentReview of roles and functions, data review and analysis, performance review and organizational restructure.
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Medical Coding/BillingICD-10, Coding, Billing, Medical Necessity and more. |
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Financial & Revenue Management ConsultingDenials Management, AR Consulting, Cash Acceleration and more. |
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Compliance & RiskCreating a bridge between IT and Physicians, Evaluation and Management and more. |
For Specialized Providers
Among our clients have been large Dialysis providers and other very specialized service for which we have provided improvements in the clinical documentation, patient data flow and cleaning up claims that have been sitting and close to filing deadlines.
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Revenue Cycle ManagementClaims data analysis, organizational structure, role assignments, and Performance Reviews |
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Clinical Information ManagementDocumentation Practice Assessments, especially after Epic implementation and the ICD 10 transition. |
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Organizational AssessmentPolicy and procedure assessment, review of roles and functions, data review and analysis, performance review and organizational restructure. |
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Medical Coding/BillingICD-10, Coding, Billing, Medical Necessity and more. |
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Financial & Revenue Management ConsultingDenials Management, AR Consulting, Cash Acceleration and more. |
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Compliance & RiskCreating a bridge between IT and Physicians, Evaluation and Management and more. |
Who we are
The Executive Team
Founded in 1987, HSMN team consists of a seasoned Clinical professional, an executive management professional, financial analysts, clinical documentation experts, Senior Coding Auditors and an IT team stolen from industry. For the last 28 years, we are proud to provide our clients, hospitals and physician practices consulting services with financial success.
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| Cathy Idema Founder & CEO |
Theo Tarantini COO |
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| Started her career as a Nursing Supervisor at the University of Michigan, Cathy’s decades of experience in Financial/Revenue Cycle has brought tremendous success to the best Hospitals in America. | As the Chief Operations Officer, Theo has held many upper level positions in hospitals and health facilities. He has brought many successes to his customers by learning and understanding their culture and needs. |
