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Frequently asked questions
HSI professional service fees for revenue cycle management are percentage based. HSI charges a percentage of the net revenue for payments received by the client’s organization. In a nutshell, HSI does not get paid until the client gets paid.
Yes, HSI has a provider enrollment specialty within our client services team. Our provider enrollment team prepares all applications and provides checklists of items needed to make new applications, change applications, and revalidations as seamless as possible.
HSI understands that every clinical team has their preference when it comes to charting. We also recognize that states, regions, and local facilities may have requirements that must be followed as well. Thus, HSI works with the full gamut of ePCR vendors that are currently on the market. Our implementation team reviews the chart configuration for compliance and billing adjudication requirements and makes suggestions back to the clinical crews; however, we don’t require that one ePCR get used over another. However, should a client want to change ePCR vendors, HSI is available to assist in that decision process as needed.
HSI has an in-house certified ambulance compliance officer (CACO) as well as a certified ambulance privacy officer (CAPO) who review client and internal policies and procedures to make sure HSI remains compliant in all aspects. HSI also retains a compliance attorney who is available as needed.
HSI has certified ambulance coders (CAC) who do the coding of claims. Internally, each and every claim goes through a Quality Review step before being submitted to the payer for adjudication. These claims are then subject to routine internal audits. HSI also retains external legal counsel who completes quarterly compliance audits for all clients.
HSI provides all of our clients with access to our proprietory client revenue portal where all information about each and every claim is available in detail along with reports, dashboards and much, much more!
Absolutely. Most systems track base activity by volume; however, HSI’s enhanced data and analytics platforms allow us to slice and dice all of the payer and payment data by base or by vehicle or by a variety of other variables including custom geographic locations. This information is provided as part of the monthly close package but is available on an as-needed basis as well.
HSI has several means of sourcing patient insurance information both manually and electronically. For “John Doe” patients, HSI has a highly skilled Payer Research Team who investigate and find patient demographic and insurance information.
Our corporate office is located in Santa Rosa, California.
HSI has been providing revenue cycle management and flight communications and coordination services since 1999.
Health Services Integration
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE READ IT CAREFULLY.
Health Services Integration (HSI) is required by law to maintain the privacy of certain confidential health care information, known as Protected Health Information or PHI, and to provide you with a notice of our legal duties and privacy practices with respect to your PHI.
HSI is also required to abide by the terms of the version of this Notice currently in effect.
Uses and Disclosures of PHI: HSI may use PHI for the purposes of treatment payment, and health care operations in most cases without your written permission. Examples of our use of your PHI:
For Treatment: This includes such things as obtaining verbal and written information about your medical condition and treatment from you as well as from others, such as doctors and nurses who give orders to allow us to provide treatment to you. We may give your PHI to other health care providers involved in your treatment, and may transfer your PHI via radio or telephone to the hospital or dispatch center.
For Payment: This includes any activities we must undertake in order to get reimbursed for the services we provide to you, including such things as submitting bills to insurance companies, making medical necessity determinations and collecting outstanding accounts.
For Health Care Operations: This includes quality assurance activities, licensing, and training programs to ensure that our personnel meet our standards of care and follow established policies and procedures, as well as certain other management functions.
Reminders for Scheduled Transports and Information on other Services: We may also contact you to provide you with a reminder of any scheduled appointments for non-emergency ambulance and medical transportation, or to provide information about other services we provide.
Use and Disclosure of PHI without Your Authorization: HSI is permitted to use PHI without your written authorization or opportunity to object, in certain situations, and unless prohibited by a more stringent state law, including:
* For the treatment, payment or health care operations activities of another health care provider who treats you;
* For health care and legal compliance activities;
* To a family member, other relative, or close personal friend or other individual involved in your care if we obtain your verbal agreement to do so or if we give you an opportunity to object to such a disclosure and you do not raise an objection, and in certain other circumstances where we are unable to obtain your agreement and believe the disclosure is in your best interests;
* To a public health authority in certain situations as required by law (such as to report abuse, neglect or domestic violence);
* For health oversight activities including audits for government investigations, inspections, disciplinary proceedings, and other administrative or judicial actions undertaken by the government (or their contractors) by law to oversee the health care system;
* For judicial and administrative proceedings as required by a court or administrative order, or in some cases in response to a subpoena or other legal process;
* For law enforcement activities in limited situations, such as when responding to a warrant;
* For military, national defense and security and other special government functions;
* To avert a serious threat to the health and safety of a person or the public at large;
* For workers' compensation purposes, and in compliance with workers' compensation laws;
* To coroners, medical examiners, and funeral directors for identifying a deceased person, determining cause of death, or carrying on their duties as authorized by law;
* If you are an organ donor, we may release health information to organizations that handle organ procurement or organ, eye or tissue transplantation or to an organ donation bank, as necessary to facilitate organ donation and transplantation;
* For research projects, but this will be subject to strict oversight and approvals;
* We may also use or disclose health information about you in a way that does not personally identify you or reveal who you are.
Any other use or disclosure of PHI, other than those listed above, will only be made with your written authorization. You may revoke your authorization at any time, in writing, except to the extent that we have already used or disclosed medical information in reliance on that authorization.
Patient Rights: As a patient, you have a number of rights with respect to your PHI, including:
The right to access copy or inspect your PHI. This means you may inspect and copy most of the medical information about you that we maintain. We will normally provide you with access to this information within 30 days of your request. We may also charge you a reasonable fee for you to copy any medical information that you have the right to access. In limited circumstances, we may deny you access to your medical information, and you may appeal certain types of denials. We have available forms to request access to your PHI and we will provide a written response if we deny you access and let you know your appeal rights. You also have the right to receive confidential communications of your PHI. If you wish to inspect and copy your medical information, you should contact our Privacy Officer.
The right to amend your PHI. You have the right to ask us to amend written medical information that we may have about you. We will generally amend your information within 60 days of your request and will notify you when we have amended the information. We are permitted by law to deny your request to amend your medical information only in certain circumstances, like when we believe the information you have asked us to amend is correct. If you wish to request that we amend the medical information that we have about you, you should contact our Privacy Officer.
The right to request an accounting. You may request an accounting from us of certain disclosures of your medical information that we have made in the six years prior to the date of your request. We are not required to give you an accounting of information we have used or disclosed for purposes of treatment, payment or health care operations, or when we share your health information with our business associates, like our billing company or a medical facility from/to which we have transported you. We are also not required to give you an accounting of our uses of protected health information for which you have already given us written authorization. If you wish to request an accounting, please contact our Privacy Officer.
The right to request that we restrict the uses and disclosures of your PHI. You have the right to request that we restrict how we use and disclose your medical information that we have about you. HSI is not required to agree to any restrictions you request but any restrictions agreed to by HSI in writing are binding on HSI.
Internet, Electronic Mail, and the Right to Obtain Copy of Paper Notice on Request. If we maintain a website, we will post a copy of this Notice prominently on our website. If you allow us, we will forward you this Notice by electronic mail instead of on paper, and you may always request a paper copy of the Notice.
Revisions to the Notice: HSI reserves the right to change the terms of this Notice at any time, and the changes will be effective immediately and will apply to all protected health information that we maintain. Any material changes to the Notice will be promptly posted in our facilities and posted to our website, if we maintain one. You can get a copy of the latest version of this Notice by contacting our Privacy Officer.
Your Legal Rights and Complaints: You also have the right to complain to us, or to the Secretary of the United States Department of Health and Human Services if you believe your privacy rights have been violated. You will not be retaliated against in any way for filing a complaint with us or to the government. Should you have any questions, comments or complaints you may direct all inquiries to our Privacy Officer.
Privacy Officer Contact Information:
Marc Mariani
Mmariani at hsihealth.com
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