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Author Archives: hsmn

Outsource Coding and ICD-10-CM Implementation Consulting Now Being Offered to Hospitals and Physician Practices by Health Systems Management Network, Inc.

Wellington, FL — (SBWIRE) — 06/14/2013 — Hospitals that received a federal bonus in 2011 and 2012 were sent surveys to confirm compliance with “meaningful use” but some of the survey pertained to how clinicians document and code their services. There is no free lunch when it comes to CMS and the almost 18 billion… Continue Reading

Physician Practice Management Reimbursement, Clinical documentation and Coding

In a recent article just published in the Wall St. Journal, (“Should Physician Pay be tied to Performance?”) two points of view were expressed; the first stated that companies like Health Care Incentives Improvement Institute argue that there are enough bench marks for quality to begin paying Physicians based on outcome.  The second opinion expressed… Continue Reading

Can a Program to Improve Clinical Documentation and Coding Secure Appropriate Assignment of Patient Status and Elimination of Medicare Penalties for Readmission

Questions are being raised about the validity of Medicare’s 30 day readmissions data currently being reported coincidental with the penalties for hospital readmissions rising from 1% of total Medicare funding based on how many patients returned for care within 30 days to 3%.  These are serious detriments to hospitals’ declining margins.  Heart failure, heart attack… Continue Reading

Integration of Care Must be reflected in the New Clinical Documentation Paradigm

Many private practice Clinicians and those on Medical staffs, especially those in Faculty Practices are struggling to find the proper balance between integrating Patient Care and achieving a high degree of proficiency in doing ICD-10-CM/PCS Claims.  Is there a dichotomy between those goals of Integrated Patient Care Management and satisfying the kind of specificity and… Continue Reading

HSMN Announces Expansion of Clinical Documentation Improvement Consulting Team

Health Systems Management Network’s (HSMN) Start Ten Program Plus, has begun to focus its clients on the conversion to MS-DRG’s under ICD-10-CM/PCS. Wellington, FL — (SBWIRE) — 05/10/2013 — Health Systems Management Network’s (HSMN) Start Ten Program Plus, has begun to focus its clients on the conversion to MS-DRG’s under ICD-10-CM/PCS. HSMN has already announced… Continue Reading

Health Systems Management Network, Inc Announces to Clients That Implementation of ICD-10-CM Must Begin with an Audit of Clinical Documentation Practices and Coding

Wellington, FL — (SBWIRE) — 05/29/2013 — Many of Health Systems Management Network’s (HSMN) clients have asked what systems they should buy to transition to the ICD-10-CM /PCS coding in 2014. HSMN’s answer and one that has been given over a period of 30 years is “It’s the clinical documentation Mr. CFO”. Every hospital’s Clinical… Continue Reading

Health Systems Management Network, Inc. Announces Their ‘Reorganization by the Deconstruction Paradigm’ Strategy for Clinicians Transitioning to ICD-10 Medical Coding Standards

Wellington, FL — (SBWIRE) — 05/30/2013 — HSMN’s clients are asking what new system they should be using to help with the transition of their revenue cycle management team to the ICD-10-CM/PCS environment. There are many systems whose vendors have done a great job in creating innovative and accurate systems. There is only one problem:… Continue Reading

Health Systems Management Network, Inc. Provides Hospital Administrators a Pathway for Revenue Cycle Management Under the ICD-10-CM Scenario

Health Systems Management Network, Inc.’s comprehensive implementation program for ICD-10-CM focuses on the entire revenue cycle. Wellington, FL — (SBWIRE) — 05/17/2013 — Health Systems Management Network, Inc.’s comprehensive implementation program for ICD-10-CM focuses on the entire revenue cycle. Their view is that the revenue cycle begins with the first contact with the patient and… Continue Reading

An Audit of Clinical Documentation Practices and Coding is the first step in a successful or transition to the world of ICD-10-CM for the Medical Staff

Many of Health Systems Management Network’s (HSMN) clients have asked what Systems they should buy to transition to the ICD-10-CM /PCS Coding in 2014.  HSMN’s answer and one which we have given over a period of 30 years is “It’s the Clinical Documentation Mr. CFO”.   Every hospital’s Clinical staff, and particularly individual clinical disciplines, have… Continue Reading

According to CMS Trusted Sources – ICD-10-CM and PCS are Moving Forward

ICD-10-CM implementation is moving forward despite the AMA’s objection; it supports a bill introduced last month by Republican Ted Poe (TX) that would block implementation of the new codes and requires a search for a less disruptive alternative code set.  CMS maintains that ICD-10-CM is better organized than ICD-9-CM and logical, and therefore, will not… Continue Reading