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HSI profile
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The NextGen Practice Solutions (HSI powered by NextGen) Profile: A Comprehensive Overview
HSI focuses its review on the existing charge/coding capture systems and internal control points in place and assists clients in establishing controls that capture the appropriate revenue and provide a mechanism to bill and collect properly. HSI also reviews and negotiates payer contracts as they relate to billing. The result is optimized collections and identification of lost revenue. We are one of the most experienced, technology-driven, revenue-improvement companies in the country. HSI strives to consistently improve the efficiency and effectiveness of our clients’ operations. This is done by transitioning from aging technology and outdated processes toward state-of-the-art solutions and best practices. HSI and its partners offer solutions in billing and collection, electronic medical records, point-of-service charge capture, digital imaging and records management, process redesign, and software training and support. HSI services include accounts receivable management and healthcare consulting for hospitals, independent facilities, device companies, and physician practices. Core services include receivable and reimbursement management and healthcare consulting including billing and collection services, with additional service offerings for medical coding and documentation education, payer credentialing services, and full-service information technology solutions. Through these services, HSI works on behalf of clients nationwide to optimize the revenue cycle through best practice solutions. HSI currently provides revenue management services to thousands of providers including health systems, hospitals, and physicians in private practice. Our in-house team consists of billing specialists, Certified Medical Coders, Certified Public Accountants, and technologists who know the business of medical billing inside and out. We currently utilize multiple practice management platforms for our customers allowing each customer the ability to choose the system that fits their needs appropriately. We have developed comprehensive policies and procedures for each system and have internal resources for training and 24/7 software support. HSI Deliverables In addition to improving the current state of billing and collections, HSI serves as a business partner to our customers in identifying and implementing revenue enhancement opportunities as discussed in this overview. Billing and Collection Services Our solutions are designed to meet the needs of each customer and are focused on not disrupting their current workflow. Managed Care Contracting Certified Professional Coders
Payer Credentialing and Contracting The software provides the HSI credentialing department the ability to track the credentialing/re-credentialing process for each provider for all payers. Vistar also tracks licensure requirements and expiration dates in order to maintain a comprehensive, up-to-date inventory of each provider. As with all credentialing projects, the correct and timely credentialing for every physician is critical. Without the proper payer credentialing, charges will not be reimbursed. HSI understands the importance of this role and has developed checks and balances to ensure that as soon as a new provider is identified, the payer credentialing process begins. HSI also utilizes the Council for Affordable Quality Healthcare (CAQH) universal credentialing data source, where appropriate. Interfaces and Connectivity As an added benefit, HSI has the ability to receive and access all financial institution lockbox information in electronic format, including copies of insurance and patient checks, insurance explanation of benefit (EOB) statements, correspondence, and deposit slips with certain banks. Utilizing this technology, HSI is able to access payment/denial information electronically in order to post payments, work denials, and resolve payer and patient issues. This process results in more time spent working unpaid accounts receivable and less time shuffling paper (e.g., EOBs, checks, and so forth). Communication
Data Center and Software System Features
HSI currently has over 15-terabytes of data storage available in its Data Center. HSI’s backup hardware and software systems provide daily backups of these storage devices. HSI has also developed an on-site Help Desk to resolve system-related issues. The Help Desk is staffed 24/7. All work orders are tracked and jobs are dispatched to support personnel. Response and completion times are reviewed by HSI management on a routine basis. HSI maintains a full-time, on-site staff of Information System support personnel. The 10-member team is comprised of data programmers, technical support personnel, system administrators, Help Desk personnel, and VPN support. We rely on this group to work closely with our clients to ensure both a seamless transition and ongoing system support. PowerFlow Document Management Solution The ability to effectively scan, capture, index, store, archive, and retrieve business documents and communications is critical to the competitive and financial health of our business. Our employees and customers benefit from business communication processes that are digitally enhanced and not “bound” by the countless limitations of the traditional paper file folder. PowerFlow provides access to the right information by the right people at the right time so that our organization can work smarter and more efficiently and resolve outstanding accounts receivable for our customers more timely and effectively. Compliance/HIPAA HSI hired the firm of Lindquist Avey/Kroll O’Gara, a national consulting firm specializing in healthcare compliance, as well as the law firm of Nelson Mullins Riley (based in Atlanta, GA) to assist in the development and implementation of the plan. HSI has an active compliance committee as well as full-time staff dedicated to the operation and monitoring of the plan as a third-party billing and consulting company. As stated previously, HSI employs both certified hospital coders and certified physician coders as part of our full-time staff. These coders—as well as our billing and collections staff—are available as resources to customers. For example, HSI provides coding in-services to customers on a routine basis. The in-services typically consist of Evaluation and Management (E/M) documentation guidelines, CPT, and ICD-9 coding. In addition, HSI offers a 16-week coding review program that ends with HSI proctoring the CPC exam. These coders also play a vital role in operation and monitoring of our compliance plan. HIPAA
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Need more information? If, after reviewing our profile at the left, you have questions or would like to talk to an HSI executive to learn more about how we can help, call or email us at: 314.989.0300 800.585.7149
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HSI utilizes the Vistar Technologies VIP Credentialing Software to credential and re-credential providers with government, managed care, and other insurers. The software is completely automated credentialing software that includes provider information storage, expiration notification, imaging, automated form processing, on-line faxing, and ad-hoc reporting. 
HSI utilizes the 
HSI faces the same challenges that all healthcare providers are faced with regarding HIPAA-compliance. With the help of outside consultants, HSI has incorporated HIPAA policies and procedures related to transaction code sets, privacy, and security into our existing compliance plan. HSI management believes that the organization has taken the necessary steps and established procedures to provide HIPAA-compliant services including: