HIApro – Professional Fee Consulting Service
Review Services
HIApro assists healthcare providers by performing coding, billing, documentation compliance reviews and education. Our comprehensive service will discover trends that may adversely affect quality scores, identify high risk areas prone to payor audits, help reduce claims denials and ensure appropriate reimbursement.
Fulfill compliance plan requirements
Coverage for internal auditor vacancies
Onboarding newly employed providers
Special projects and investigatory reviews
Due diligence reviews for acquisitions
Coding Services
The number of physicians employed by health systems continues to rise. This growth will bring increased financial and compliance related risks. As the industry moves towards a value-based payment model, quality metrics and costs will dictate reimbursement. Additionally, government and commercial payors are poised to scrutinize claims more aggressively. The need for qualified professional coders has never been greater.
Internal coding staff vacancies
System upgrades/conversions
Backlogs, timely filing
Overflow needs
Month-end/Year-end support
Special projects
HIApro Offerings
Why HIA’s profee service is different
Our main objective is to help physician practices survive in an environment of increased payor scrutiny and declining revenues.
- Annual Client Satisfaction 98%
- Average Client Relationships Over 5 Years 95%
- Average Client Relationships Over 10 Years 85%
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Popular Posts
Coding Tip: Cardiac Catheterization Coding in ICD-10-PCS
With the implementation of ICD-10-PCS the description of codes became much more detailed to describe exactly what is being performed. Cardiac catheterization is one of the descriptions that changed to further detail exactly what is being performed during the procedure.
Part 1: CPT Breast Education Series | Overview of Breast Reconstruction
This is Part 1 of a 6-part series focusing on CPT coding of reconstructive procedures following mastectomy. There are many different types of breast reconstruction procedures, each having potential stumbling-blocks for coders. Part 1 is an overview of the types of breast reconstruction techniques commonly used. Future topics in this series will go into more detail of each technique and the CPT coding implications.
ICD-10 Codes for Your Favorite Christmas Movies
With Christmas fast-approaching, we’re making a list of our favorite holiday movies and checking it twice. And in the spirit of good humor and cheer, we’ve added some ICD-10 codes to these holiday classics. Have a safe, happy, and healthy holiday everyone!
Coding Tip: Coding Lobar Pneumonia
“Lobar” pneumonia references a form of pneumonia that affects a specific lobe or lobes of the lung. This is a bacterial pneumonia and is most commonly community acquired. Antibiotics are almost always necessary to clear this type of pneumonia.
Part 5: Sepsis Series | Reasons for Denials and Prevention
Why are so many sepsis records denied? It’s hard to say why there seem to be so many sepsis denials of late, but most likely this is due to the multiple sets of criteria for the diagnosis of sepsis, change in definition of sepsis, as well as physician documentation.
HIApro Reports
HIA delivers comprehensive electronic daily and month-end reporting to its clients. The content and format of these reports promote transparency and allow for easy invoice reconciliation.
HIApro Reports
HIA delivers comprehensive electronic daily and month-end reporting to its clients. The content and format of these reports promote transparency and allow for easy invoice reconciliation.
