- Facilities
- Acute Care
- Inpatient/Outpatient Revenue Cycle Maintenance Program
- Outpatient (OPPS) Revenue Cycle Maintenance Program
- Emergency Department (ED) Program
- Comprehensive Chargemaster Update
- Chargemaster Update - Desk Review
- Pass-through Code Identification Review
- Chargemaster Update - Single Department or New Service
- Chargemaster Follow-Up Review
- Chargemaster Training Program
- Acquisition Feasibility Study
- Compliance Program Development and Audit Services
- Independent Review Organization
- RAC Pre-Audit & Appeals Services
- Teaching Facilities
- Inpatient/Outpatient (IPPS/OPPS) Full Service Program
- Outpatient (OPPS) Full Service Program
- Emergency Department (ED) Program
- Comprehensive Chargemaster Update
- Chargemaster Update – Desk Review
- Pass-through Code Identification Review
- Chargemaster Update – Single Department or New Service
- Chargemaster Follow-Up Review
- Chargemaster Training Program
- Acquisition Feasibility Study – Chargemaster
- Compliance Program Development and Audit Services
- Independent Review Organization
- RAC Pre-Audit & Appeals Services
- Critical Access Hospitals
- Inpatient/Outpatient (IPPS/OPPS) Full Service Program
- Outpatient (OPPS) Full Service Program
- Emergency Department (ED) Program
- Comprehensive Chargemaster Update
- Chargemaster Update – Desk Review
- Pass-through Code Identification Review
- Chargemaster Update – Single Department or New Service
- Chargemaster Follow-Up Review
- Chargemaster Training Program
- Acquisition Feasibility Study – Chargemaster
- Compliance Program Development and Audit Services
- Independent Review Organization
- RAC Pre-Audit & Appeals Services
- Long Term Acute Care Facilities
- Inpatient Full Service Program
- Comprehensive Chargemaster Update
- Chargemaster Update – Desk Review
- Pass-through Code Identification Review
- Chargemaster Update – Single Department or New Service
- Chargemaster Follow-Up Review
- Chargemaster Training Program
- Acquisition Feasibility Study – Chargemaster
- Compliance Program Development and Audit Services
- Independent Review Organization
- RAC Pre-Audit & Appeals Services
- Inpatient Rehabilitation Facilities (IRF)
- Inpatient Rehabilitation (IRF) Full Service Program
- Comprehensive Chargemaster Update
- Chargemaster Update – Desk Review
- Pass-through Code Identification Review
- Chargemaster Update – Single Department or New Service
- Chargemaster Follow-Up Review
- Chargemaster Training Program
- Acquisition Feasibility Study – Chargemaster
- Compliance Program Development and Audit Services
- Independent Review Organization
- RAC Pre-Audit & Appeals Services
- Skilled Nursing Facilities
- Acute Care
- ASC
- EMS
- Physicians
- Home Health
- Hospice
- Coding
Acquisition Feasibility Study
The feasibility study is a review of the current chargemaster and revenue and usage data for the facility the Client is considering purchasing. The review is concentrated on coding accuracy, and potential areas of reimbursement enhancement as well as potential issues with non-compliance. The areas addressed in the feasibility are used to determine potential revenue impacts.
HMI will review, line-by-line, all the active departments listed in the hospital chargemaster. Listed are items reviewed:
- Assigned CPT/HCPCS for accuracy
- Assigned UB revenue code for accuracy
- Assigned modifier for accuracy
- Assigned charge for pricing below published Medicare reimbursement rates
- Missing charges for addition
- Deleted/invalid charges for modification
HMI will review the revenue and usage data to validate line items with activity. The information in this report will be used to prepare a quantifiable impact report:
(a) address reimbursement enhancement for missing charges/codes, and
(b) address revenue associated with areas of non-compliance.
HMI will submit a report of findings and recommendations. Information provided in the report will be supported by current published CMS coding and billing guidelines. The hospital should implement changes in the hospital system for the most optimal reimbursement opportunities.
