Revenue Cycle Management
Clinical Documentation
ICD-10-CM - Are You Ready?
Post Epic Implementation Workflow Analysis
SPOTLIGHT: EPIC Systems Workflow Analysis. Is your organization live or soon to be live with EPIC? HSMN has worked closely with many organizations to conduct comprehensive Post-EPIC Workflow Assessments and Billing Quality Reviews after Go-Live. Let us help you. read more

Client Comments

"One year after the implementation of Epic, we realized that it was not doing what we thought we had built. It had affected revenue and cash flow. Our staff at our Academic Medical Center had worked very hard to build the work flows as they believed they should work. The problem was that in the “build” something was lost in translation in this amazing Enterprise Wide System and we didn’t know what had happened. The thought of taking our managers off line again was not possible. So we called in Health Systems Management Network, Inc to assess the problem and give us a plan to fix it. Not only did they identify the problems but we realized revenue we had lost and going forward we were 2.5% better than we were. HSMN came in worked with the Finance staff and the Medical staff and helped to rework workflows and processes. They have done a great job for us and we highly recommend them not only for Operational things but their help in our restructuring the parts of Finance necessary to meet the challenges we faced."
"Dialysis is a tough business and is scrutinized heavily by the OIG and Medicare. We were being audited and during that time we couldn’t do any billing. We asked HSMN to help sort through the findings and put into place processes that would allow us to bill properly with all of the safeguards including Medical necessity for our Labs. HSMN trained our staff and provided enough of their staff while putting in procedures and software that allowed us to bill all of our procedures that had been sitting. We met all of the filing deadlines for our billing and have a stronger organization based on the work of HSMN."
"When we were acquired, I thought we could practice Oncology the way we had been in the past. We brought in HSMN who spent much time in the practice with all levels of staff to find out why we were losing money and why staff morale was so low. He found that several staff members really needed a new outlook and that the “Culture” that we had brought with us was not a good fit with the demographic. HSMN helped us to change and to update many things about our practice. We are steadily climbing out of the hole we made with the help and guidance we received from HSMN."
"We had been looking at a diminished practice and we wanted help with a reorganization and a new direction. HSMN looked at the practice and found that we were not capitalizing on the good reputation we had enjoyed at our old hospital. When we came across town we were in a new relationship, the Hospital owned us and we started off by losing money. HSMN looked at our demographics, referral patterns, our new environment and found that we could capitalize on our past referrals, add a new dimension to our practice and renegotiate the terms of our contract. We have now added two people to our team and things are going well. HSMN interviewed each partner, spent time with them on rounds and tried find out where their heads were in terms of the practice. The HSMN review has made a big difference in our professional lives."
"Our Neurosurgical practice had not been working well. I could not get my partner to be on the same page with me about our future. In the course of looking at our practice HSMN suggested that they mediate a discussion with my partner. They did and we discovered that we did not belong together. He is now happily working in another practice and I have given mine a new direction. Thank you HSMN."
"HSMN came in and soon realized that there was a huge gap between our administration and the Medical practices; they informed us that if we wanted to be successful, we needed to build some clinical and administrative bridges. Construction has started and we are underway with a grand plan to finally change our culture."
"Since HSMN has worked with our Physician Practices, the Medical staff is doing better as is the hospital."
"They went to the very heart of what makes our Organization us and found the issues not just with the numbers but working with our staff at all levels. They didn’t sell us anything but taught us how to look within ourselves to find the best ideas and the most workable solutions."
"We have never seen such tailored, specific reporting that clearly reflects our culture and our problems. The solutions were presented with a depth and breadth that made them ready to be implemented by our staff. The staff reported to us that they were challenged with new ideas but answered with what could really work. No black boxes with these guys, when they leave, you have something with which you can work and actually own."
"The Medical Staff reported that they have never experienced a group who could really understand the span of problems associated with clinical practice especially in an academic setting. They got through it and made recommendations we still follow. The reason we do is that they are based on solid principles that only need adjustments, not crazy changes. We are much better off because these consultants are older and wiser and with their experience, they get to the problems quickly."

Contact Us

Contact Us

Use the form below to send us a message.
By submitting this form, you accept the Mollom privacy policy.

Hospital Consulting, Billing, Health Services Management by HSMN

 "The best revenue cycle company in the country" is the way one CFO of a prestigious Academic Medical Center referred to us. For our clients, Hospitals and Physician Practices, we have improved overall financial performance, restructured the revenue cycle on both Pro fee and hospital sides, and essentially made our clients much more financially successful in the delivery of healthcare services. HSMN’s Hospital Consulting experience is deep and its client list long.

 Our proven methodology for the last 27 years always begins with a thorough assessment of each organization, its culture, history and value system, because we know each client is unique. Our hospital consulting strategies work because they come from a synergy of your organization's values and our many years of experience. HSMN utilizes advanced analytics at the macro and micro levels to uncover clues to the real issues in your processes, systems and clinical services. In shaping solutions, we define the new mission and help structure roles to carry out the new approaches. We often pilot these new approaches and then incorporate them into your workflows to optimize efficiency.

 HSMN Inc. is proud to announce that our clients have now requested that we do interim coding and billing on both sides of the equation. Technology has made it possible for us to code and bill remotely, and more importantly, help our clients monitor the quality of the documentation, the coding interpretation and the purity of the claim. The addition of claim scrubbers has created yet another layer of delay in the billing process and HSMN has worked to clean up the process and reduce the number of claims that do not meet edit standards. Clients have also asked us to do rebilling projects that involve going back into Hospital data to find cases that were not billed.

 This is not uncommon and many large organizations are not aware that both on the Hospital side and Professional fee billing there are procedures that were never billed. Hospital Billing Resource Reclamation or HBRC is our term. Perhaps it is time to take a look at the data and determine whether there is opportunity to reclaim resources for services rendered. HSMN has worked for years comparing Hospital billing data bases of what was billed and comparing it to what should have been billed. Our success rate at finding opportunity has pleased our client base. Recently for an Academic Medical Center we have been able to rebill 8 million net dollars. It is important to note that there are time constraints for rebilling. Perhaps this is the time to find out if there is Hospital billing that should be taking place before filing deadlines have passed.

 HSMN’s Hospital Consulting is one in which we do not do 35,000 feet flyovers but rather take the time to understand in depth the opportunity for improvement and the ways in which the Hospital client can accept and implement the recommendations of our assessments.

         Let us know how we can help you today.