ReleaseWire Connect

After its many years of comprehensive audit activity on medical billing, coding, clinical documentation and denial management in Hospitals, free standing ambulatory care centers and physician practices; Health Systems Management is pleased to announce that it is taking on clients to perform medical billing and medical coding.

Health Systems Management Network, Inc. (HSMN) announces it has reorganized its ambulatory care billing division to focus its engagements in restructuring ambulatory care units.

Health Systems Management Network, Inc. is eager to discuss the details of our recently announced program called Back to Basics and more. In that announcement, we boldly declared that the search for the ultimate Revenue Cycle Management process was over, and we meant it. For 27 years, HSMN has worked with clients of all stripes and sizes, and has found a formula that has vastly improved every aspect of the revenue cycle in all healthcare delivery settings.

Health Systems Management Network, Inc. is proud to announce our new program called Back to Basics and more. We are elated to inform you that the search for the ultimate revenue cycle management process is over. Our 27 years of experience working with a wide variety of healthcare organizations has allowed us to develop a formula that has significantly improved every aspect of the revenue cycle in all healthcare delivery settings. We have decided to share this formula for success with you.

Health Systems Management Network, Inc. announces the formation of its clinical documentation improvement teams for the Northeast, Southeast, Southwest, Midwest and Western parts of the country specializing in medical, hospital billing and coding initiatives. HSMN believes that all of these activities must be coordinated with medical staffs in order to achieve optimization and the required compliance.

Medical group practice management for all specialties in medicine have taken on a whole new meaning with the Supreme Court’s recent decision upholding the Affordable Care Act. A new program is mandated as part of the law and it has to do with physicians having to adhere to certain metrics in order to qualify for a bonus when treating Medicare Part B patients. HSMN can help you get there.

Professional billing services with audit and review in the era of “The Affordable Care Act .” The Supreme Court has spoken and regardless of the election outcomes in November, physicians carry a very heavy burden of assuring that every claim they submit is clean. Beyond that, there is another threshold: aggregating physician data to ascertain the quality of the outcomes of the care they have provided.

The Supreme Court has just upheld the new Affordable Care Act; as a result, APC payments and revenue will be more carefully scrutinized than ever. The reasons are clear: in an effort to provide incentive for EMRs, ACO payments to groups and other experiments in reimbursement, the money must be found in existing programs. Denials and rejections under APC will multiply under the new scenario. However, this may present a new opportunity for providers with large ambulatory operations and even those who are doing private ambulatory surgery centers.

Did you know that Medicare and Medicaid have already paid out $5 billion dollars for meaningful use through its EHR incentive programs? Hospitals have received $3.3 billion and other providers, $1.7 billion. Are you missing out? The EHR is an important tool for healthcare providers everywhere. In health systems with significant ambulatory activity and owned physician practices, an enterprise-wide system makes sense especially where patients move between physicians and many other services. HSMN has assisted healthcare organizations in developing EHR specification requirements for many years, facilitating the right match.

Health Systems Management Network, Inc. (HSMN) is pleased to announce its improved Denial Management with Root Cause Analysis Division and its services offered to hospitals and physician practices. HSMN has successfully created an algorithm based on its 27 years of best practice management, to help identify the root cause of each client’s denials. This method works well whether in physician practice or hospital and prospectively provides coding and claims analysis.