HIApro – Professional Fee Consulting Service
Review Services
HIApro assists health systems and their employed 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
Onboarding newly employed providers
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
Query Tip: The Many Meanings of “Unable to Determine”
Queries written in a multiple-choice format include a short list of options for physician response. These options must be relevant and supported by the clinical indicators included in the query. In the event a physician cannot provide further specificity by using one of these listed options, there must be an additional option for “unable to determine.”
Coding Tip: Getting Control of Root Operation Control
Since the implementation of ICD-10-PCS in 2015, yearly changes have been made regarding the definition of, and guidelines associated with, the root operation Control. This has caused coding professionals much confusion in determining whether to assign a procedure to root operation Control, to assign another root operation, or to not assign a procedure code at all. The objective of this article is to learn when the root operation Control should be assigned when coding a procedure.
IPPS Final Rule: Here’s What You Need to Know
The policies in the IPPS/LTCH PPS final rule further advance the agency’s priority of creating a patient-centered healthcare system by achieving greater price transparency, interoperability, and significant burden reduction so that hospitals can operate with better…
Coding & Quality Measures: The Code Hard Truth
In this current, ever-changing healthcare climate, health systems face many challenges. Facilities large and small must be dedicated to improving documentation and reducing complications, HACs, infection rates, and readmissions as they endeavor towards value-based care. Coding inaccuracies can really undermine…
Achieve Sustained Results with HIA’s Coding Services
It’s imperative, in today’s challenging healthcare environment, that organizations demand complete and accurate coding practices from their vendors if they want: Appropriate and timely reimbursement; Representative quality measures; Improved CMI; Reduction in payor denials and; Mitigation of compliance risks.
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.
