HMI Specialists provide review of Physician E/M coding and billing, super bills, documentation requirements, and policies and procedures. Provider education regarding billing, coding and documentation is provided.
Our Comprehensive Charge Description Master CDM Review update includes analysis of inpatient and outpatient charges and all clinic charges maintained in the CDM and impacted by CMS PPS. HMI will review all CDM line items for accuracy of the CPT®/HCPCS, UB revenue code, and modifier assignment for compliance with federal and MAC/FI rules and regulations, price comparison vs allowable reimbursement levels and descriptions for meeting hospital’s internal standards. HMI will identify all line items for addition, modification, and deactivation, as well as price comparison vs. allowable reimbursement levels. Concurrently, we will provide a coding and billing helpline by phone, fax, or email for the term of the contract. With HMI’s leading Hospital Chargemaster Review , Compliance Review and CDM Audit Services and strategic pricing solutions, you can optimize charges and model the net revenue impact to maintain the bottom line.
Our medical coding reviews specialists will validate the ICD-10-CM code sequencing of the principal diagnosis and the secondary diagnoses and ICD-10-PCS codes for the assignment of the MS-DRG. A thorough review of the medical record documentation against the hospital final billed claim will confirm reporting accuracy. This reviews also addresses validating the coder assigned present on admission (POA) indicators and discharge status (disposition). HMI Performs Clinical Medical Coding Reviews, Physician Coding Reviews, Outpatient and Inpatient Medical Coding Reviews, Inpatient Medical Coder Companies and Medical Coding Services Companies.
Contract Medical Coding Services are provided by our (USA based) medical coding specialists who are qualified to assist our clients in quickly and efficiently reducing medical coding backlogs, providing back-up support during staffing shortages, and performing on-going coding support services. Our contract medical coding companies specialists are experienced in the use of TruCode, Meditech, VISTA, 3M, McKesson, Cerner, Epic, and CHCS/CHCSII.
All medical coding services will be performed by AHIMA and/or AAPC credentialed medical coding professionals. Our coding expertise includes but not limited to the following: Inpatient/MS-DRG, Outpatient Surgery, Physician E/M, Emergency Department E/M, Interventional Radiology, Ambulatory Surgery, GI/Endoscopy. HMI is One of the leading Contract Medical Coding, Contract Medical Coding Services and Remote Contract Medical Coding Services in Nashville & Entire US.
HMI specialists provide comprehensive review, guidance, and process improvement instructions regarding meeting and maintaining compliance with Medicare rules and regulations. In addition, HMI provides assistance in Recovery Audit Contractor (RAC) pre-audit or appeals and assist in claims adjustment for all payors.