hiacode.comHealth Information Associates - Medical Coding Support and Audits

Services Acute Coding Support Inpatient Coding Support Outpatient Coding Support Acute Review and CDI Acute Coding Review Clinical Documentation Integrity Profee Solutions Profee Coding Profee Review Ambulatory Solutions Ambulatory Coding Ambulatory Review Coding Education Coding Courses Settings Hospitals Pediatric Hospitals Provider Groups Ambulatory Surgery Behavioral Health Critical Access Urgent Care Rehabilitation Centers Rural Health Clinics Solutions AI Validation Audit Total Outsource Single Path Coding Interim Auditing Rev Cycle Mgmt Denial Management Case Mix Index Technology Atom Audit Nucleus Client Portal Careers Open Positions Benefits Culture Blog Annual Code Updates Medical Coding Tips Medical Query Tips Industry News Company News Resources Contact Contact Us FAQ About Leadership Compliance Client Login English × EVERY CODE COUNTS Medical Coding Support and Coding Audit Services When clients can depend on quality service delivered the right way, they find success, and that’s how we measure our own. CODING EDUCATION PLATFORM HIAlearn.com HIAlearn includes over 200 facility and professional fee courses accepted by AHIMA for CEUs, with a selection also accepted by AAPC. MEDICAL CODING AUDIT PLATFORM Atom Audit Atom Audit is a cloud-based application that allows auditors to perform comprehensive medical coding reviews. Founded on Experience, Built with Integrity, Supported by Education. We provide the highest quality coding review and support services in the industry. Acute Coding Support Secure and seamless Inpatient/Outpatient remote coding solutions. Learn more » Acute Coding Review and CDI Mitigate compliance risk and ensure appropriate reimbursements. Learn more » Profee Services Compliance/financial reviews, education and coding support. Learn more » Coding Education One-on-one, group, and on-demand training. Learn more » Ambulatory Services Facility compliance and financial reviews, coding education and coding support. Learn more » Atom Audit Medical coding audit and data analytics platform. Learn more » BY THE NUMBERS We pride ourselves on having the most experienced and well supported team in the industry. 10 Avg. Years Coder Experience 25 Avg. Years Consultants Experience 250 Annual CEUs Available 10,973,289 Avg. Monthly $ Dropped/Coder Coding Audit Platform Atom Audit Our coding audit tool is a cloud-based application that allows auditors to perform comprehensive medical coding reviews. Cloud Based No install required. Access from anywhere, anytime. Increased Auditor Efficiency Quickly audit records with both original and recommended coding. Coder Response Workflow Coder access included for full rebuttal response process. Audit Insights Results from any audit can be viewed online or downloaded via our Reports dashboard. WHAT WE OFFER Our niche solutions Total Outsource Coding Support Today’s healthcare environment is already challenging enough. Let us help you achieve: Guaranteed staffing Appropriate and timely reimbursement Representative quality measures Improved CMI Reduction in payer denials Mitigation of compliance risks Single Path Coding Whether you are considering, or in the process, or have implemented Single Path Coding, we’re here to help. Our clients have seen: Increases in overall productivity and accuracy Decreases in claims denials Significant reduction in operational costs Interim Auditing We provide experienced coding consultants when you need them most: One-on-one coder development/improvement Address surging payer 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 and resolve billing edits Rev Cycle Management HIA’s Revenue Cycle Management service can assist your organization in one or a combination of the following : CMI impact - CC/MCC capture Billing edit resolution Focused DRG audits CDI audits Claims denial audits/Appeal support Denial Management HIA’s Denial Management service will assist your organization in one or a combination of the following: Review applicable denied and/or rejected claims Determine if an appeal is warranted Facilitate appeal process including authoring of appeal letter, tracking and adjudication Analysis of denials and operations assessment to determine root causes. Corrective action recommendations, education to applicable stakeholders Case Mix Index Are your coders capturing all CC/MCCs? If not, it could be negatively affecting your CMI and quality measures. In addition to reviewing CC/MCC code selections for both medical and surgical MS-DRGs, we: Investigate cases where there is a single reporting of a CC or MCC in a given time period as this can indicate a coding error or a provider documentation opportunity. Review a sudden spike or unusually high volume of MS-DRGs with CC/MCCs as this can be an indicator or an increased denial risk and can impact mortality index reporting. Evaluate outliers in the average length of stay where inconsistencies can identify coding and documentation opportunities. WHY WE’RE DIFFERENT Why HIA? Our Education Our Reporting Our Support Our Education Our Reporting Our Support HIAlearn.com - Over 200 Courses HIAlearn.com is our 100% online coding education platform. It has more than 200 courses accepted by AHIMA for CEUs, with a selection also accepted by AAPC. Topics range from the most challenging procedures in today’s coding world to wider reaching concepts. We offer multiple training plans to fit your exact needs, whether you are a new or experienced coder. Topics are derived from common HIA audit findings and range from the day’s most challenging procedures to wider reaching concepts such as Principal Diagnosis Coding. Join more than 1,600 HIAlearn.com users today. One hour Courses Ten question quiz Submit for CEUs HIA’s secure client portal Nucleus , HIA’s secure client portal, allows you to run customizable reports while seamlessly managing your current monthly costs and upcoming projects. As a cloud-based platform, all of the documents are updated and logged in real-time. Nucleus makes it easy to share documents and reports with all assigned users and schedule services for up to a year in advance. Even better? We have specific reports for each department. Are you in ​​​​​​Coding Leadership role? See a summary of findings, including overall accuracy and potential CMI impact. Are you in a Compliance role? Run DRG Rebill report to show you a detailed list of all accounts, including their potential financial impact. Are you a member of the C-suite? Get a global view of the project with easy-to-read charts and summaries. More than just one coder We believe in a team approach at HIA. In fact, when you partner with us, you aren’t just getting a coder, you are getting an entire education and QA team supporting that coder. Our Education Team has 70+ years of combined education experience. Our Corporate Team has 20+ year tenure. HIA has been in business for 30 years. WHO WE WORK WITH Settings Hospitals Accurate coding of inpatient & outpatient services is a crucial element in a healthy reimbursement and compliance strategy. Partner with HIA to replace underperforming coding vendors or to provide comprehensive medical coding reviews. Physician Groups Physicians and mid-level providers, both employed and independent, continue to face financial and compliance related challenges. Partner with HIApro for all of your professional fee consulting needs. Ambulatory Surgery Centers Rarely does an ASC have the luxury of a dedicated coding manager, much less an educator and internal auditor. HIA’s service is aimed at providing a reliable resource to address all three important functions and more. Behavioral Health Behavioral health related services are on the rise in the United States with around 20 million Americans experiencing a mental health illness. HIA can address your coding and reimbursement needs...