Health Systems Management Network, Inc

Health Systems Management Network, Inc. has announced that it has enhanced its clinical documentation and coding audit division to include a full staff of certified hospital coders, who are also ICD-10-CM/PCS trainers, to support our clients in handling, overflow, training and the re- coding of accounts that require corrected coding for claim submission.

Health Systems Management Network, Inc.’s comprehensive implementation program for ICD-10-CM focuses on the entire revenue cycle. Their view is that the revenue cycle begins with the first contact with the patient and the collection of their data through account reconciliation.

HSMN has previously announced their Start Ten Plus Program that combines transitioning medical staff to ICD-10-CM and creating partnerships with skilled coders who use critical thinking skills and creating an internal clinical documentation improvement program with and for the Medical staff.

Health Systems Management Network’s (HSMN) Start Ten Program Plus, has begun to focus its clients on the conversion to MS-DRG’s under ICD-10-CM/PCS. HSMN has already announced that they will assist their clients on focusing its clinical documentation improvement consulting on creating partnerships between clinical practice and coding knowledge.

The Wall St. Journal in a recent article by Stephen Soumerai and Ross Koppel stated that CMS is very focused on reducing rates of readmission of Medicare/Medicaid patients. These findings along with the changes in hospital billing and penalties applied under the Affordable Care Act are now published on the Health Systems Management Network, Inc (HSMN) website.

The medical staff in most hospitals or busy physician practices are probably not going to sit down for a didactic session on ICD-10-CM/PCS coding. With the upcoming rollout of the ICD-10-CM coding changes, the staff’s level of expertise will have a profound impact on revenue for the medical facility. Health Systems Management Network, Inc. has created the Start Ten program to assist hospital and physician staff to transition from ICD-9 to ICD-10/PCS.

Health Systems Management Network, Inc -Announces the “The Start Ten” program designed to support 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.

Epic revenue cycle consulting with post implementation workflow analysis is critical to assuring that what was “built” in the “system” is working well. During a recent engagement at an academic medical center, Health Systems Management Network, Inc. (HSMN) revealed the hospital experienced revenue loss and a higher rate of denials pre and post claims submission. The system as built by the hospital staff turned out not to reflect the reality of needed workflows and the creation of work arounds and redoing of work.

HSMN has learned that MEDPAC (The Medicare Payment Advisory Commission) is set to reduce hospital payments for ambulatory/outpatient procedures to the rates paid in a physicians’ office.

HSMN announces the formation of a “Financial Structural Assessment Team” under its Organizational Structure division. The purpose of this Team is to assess the financial structure within the revenue cycle management and determine how roles should be defined, work processes refined, system efficacy, staff allocation by function and finally the leadership.