Epic Revenue Cycle Consulting with post implementation workflow analysis is critical to assuring that what was “built” in the “system” is working well. A recent engagement at an academic medical center revealed revenue loss and a higher rate of denials pre and post claims submission. The system as “built” by the hospital staff turned out… Continue Reading
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Health Systems Management Network, Inc. – Aannounces the “Start Ten” Program
Health Systems Management Network, Inc. – Announces the “Start Ten” Program designed tosupport both the Medical staffs and each member of the Revenue Cycle Team to transition to ICD-10-CM and PCS Coding. The “Start Ten” program was designed by physicians for physicians with help from the best Coders and trainers in the country. Health Systems… Continue Reading
HSMN announces an expansion of its START Program
HSMN announces an expansion of its START Program, the program designed to assess the state of readiness for ICD-10-CM Diagnostic coding and Procedure coding. The expansion has been implemented to support providers who want to know how they will do with their payors once ICD-10-CM is in effect. The expansion includes all payors regardless of… Continue Reading
HSMN’s Start 10 Program
Recent studies based on current client data show that the revenue cycle of some hospitals are projected to see an impact of a negative 2-3% on net revenue with the implementation of ICD-10-PCS coding. HSMN in working with its client base has found that clients are counting on tools and systems rather than experience, training,… Continue Reading
Structuring Your Revenue Cycle Organization for Successful Outcomes
Health Systems Management Network, Inc. (HSMN) in its 27 years of operation has often found that both Hospitals and large Medical Practices, especially Faculty practices, have found that sometimes the installation of new Systems has changed their Revenue Outcomes. Why is the AR climbing? Why are we realizing fewer dollars from our patient encounters? Despite… Continue Reading
HSMN Announces a Program to Transition the Medical Staff from ICD-9-CM to ICD-10-CM Coding
It has been suggested by some that the ICD-10 coding changeover will cause chaos because of the significant changes in the number of codes added to create specificity to a degree no one could have imagined. The number of diagnoses codes will increase from 14,567 to 69,833 and inpatient procedure codes will increase from 4,000… Continue Reading
ICD-10-CM Medical Billing & Coding Readiness
ICD-10-CM is effective on October 1, 2014. How would you rate the readiness of your medical staff to be able to document to the extraordinary specificity demanded by the new Coding Schema? The implementation is not just an event in time; it is an ongoing change to the culture of Clinical Documentation and coding.… Continue Reading
HSMN Announces the Formation of the ACO Readiness Program or ARP
The purpose of this group being formed within HSMN is to help both Physicians and Hospital Organizations/Systems decide whether such a step is feasible financially and what next steps must be taken. Many of our Physician and Hospital clients are asking for help as they respectively decide to join an ACO or create one by… Continue Reading
Ambulatory Care Hospital Billing, APCs and Technical Hospital Billing
For 27 years Health Systems Management Network, Inc. has worked with various Hospitals, Health Systems and Physician clients to help them optimize their ambulatory care and practice billing. When the Ambulatory Payment Classification (APC) system became the payment methodology, HSMN was among the first firms working to prepare all of its clients to be successful… Continue Reading
Denial Management with Root Cause Analysis
The structure of the healthcare financial management organizations which often have silos where they should have integrated contiguity often precludes the ability to analyze the root cause of claim denial. Without understanding the cause and the source, claim denials keep mounting and the effort to resubmit claims becomes such a labor intensive project that many… Continue Reading