Interim Auditing
We'll take it from here.
Life happens - and sometimes, these happenings can create a gap in your day-to-day coding operations. Don't sweat it. We're here to help.
Interim Auditing
We'll take it from here.
Life happens - and sometimes, these happenings can result in a gap in your Health Information Leadership team. Don't sweat it. We're here to help.
HIA takes pride in having the most experienced review consultants in the industry. And with an average of twenty-one years’ experience in their respective field, their knowledge is second to none. All staff members retain credentials from AHIMA and have their RHIA, RHIT, and/or CCS. Additionally, HIA Review Consultants hold the AHIMA ICD-10 Trainer Certificate and the Certified Documentation Improvement Practitioner (CDIP) credential.
We provide experienced coding consultants when you need them most:
- One-on-one coder development/improvement
- Address surging payor denial/appeal volumes
- Assess coding's role in CMI fluctuations
- Investigate skewed quality metrics
- Supplement internal staff for focused auditing (DRGs/Dx, mortality, PSIs, monthly coder reviews, etc.)
- Manage billing edits
“Because that’s the way we’ve always coded it.” Having the fresh perspective of a qualified external party can often be the catalyst for positive change. HIA’s extensive resources go well beyond the consultant(s) assigned to your facility and the full team is always at your disposal.
Interim Auditing: Our Comprehensive Approach
Quality Assurance
The benefits of taking action and being able to measure progress in the near term are fundamental to developing a successful coding team.
Coder Development
Our constructive, one on one, approach focuses on utilizing the proper references. This is key in developing independent and effective coding professionals.
Focused Audits
The demands related to focused auditing can be daunting. Quality Measures, Pepper reports, OIG Work plan, Focus DRG’s, the list goes on. We can help with overflow volumes when internal resources are stretched too thin.
Denial/Appeal Support
From determining the validity of a denial, to preparing a well constructed appeal letter, we can help. We also assist in trending the denials and providing education to the coding team in order to eliminate future denials.
Pending Account Resolution
HIA can assist with determining the validity of pending status, answering questions, providing guidance to finalize accounts, even writing queries when appropriate. We can also trend the information to determine areas of educational opportunity and eliminate repetitious inquiries.
Coder Assessment
Annual evaluations can be challenging. Relying on well documented audit results from an unbiased third party can help alleviate some of the anxiety. Our audit database will allow for tracking and trending of coder specific results throughout the year and is available upon request.
Fresh Perspective
Having the fresh perspective of a qualified external party can often be the catalyst for positive change. HIA’s extensive resources go well beyond the consultant(s) assigned to your facility and the full team is always at your disposal.
Billing Resolution
The ever changing payer guidelines make billing edits a fact of life. HIA’s experienced team of consultants will go beyond simply managing the volume, we’ll identify the source and work through appropriate channels to eliminate invalid edits.
Customer Stories
Two years ago, Diana, HIM Director at one of the largest pediatric hospitals in the U.S., was at a crossroads: her coders were frustrated with lack of educational resources and her bosses were frustrated with lack of production. This, matched with the implementation of ICD-10, created the perfect storm.
As the Director of Coding & CDI at one of the nation's top-ranked teaching hospitals, Marsha knew she needed a new process to make sure her organization was giving their coders everything they needed to succeed, including a fresh perspective.
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