Coding/Billing Services

HSMN creates a “documentation partnership” between the Hospital/facility and the Medical Staff when it looks at the Coding Billing Issues.

• HSMN spends time at the clinician’s level, inpatient, outpatient and physician office to understand the nature of practice by specialty and what the documentation issues are for both the physician’s E&M requirements as well as the Hospital’s need for documentation to support the appropriate level of service and to make sure resources used are tied to the appropriate DRG.
• HSMN builds a bridge between the two components. Often HSMN, after rounding with the members of the medical staff, hold Case Conferences on live cases and the documentation issues. Likewise it reviews with Medical staff members’ critical components needed to support the levels of professional fee service provision.
• HSMN looks at patients from all documentation angles, anticipating that third party reviews often cite the discrepancies between diagnoses and procedures when they are viewed alternatively from the professional fee and facility side.
• HSMN follows the entire documentation CONTINUUM and reviews the roles of each documenter and the outcomes in the coding, and billing departments.
  • HSMN reviews the processes, tools, the infrastructure, and the final output in its comprehensive review.
• HSMN does reviews and uses the reviews for education of both the medical staff and those who work in the Revenue Cycle.
• HSMN closely examines historical data to assure that what it reviews accurately reflects a picture of the facility’s Documentation practices.
• HSMN provides feedback to every level of staff, process, system or tool implicated in the coding billing process.