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Submission: On October 23 via api from US — Scanned from DE
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</form>Text Content
* 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
* 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
* COVID-19 Coding
* Resources
* Contact
* Contact Us
* FAQ
* About
* Leadership
* Compliance
* Client Login
English
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MEDICAL CODING AUDIT PLATFORM
ATOM AUDIT
Atom Audit is a cloud-based application that
allows auditors to perform comprehensive
medical coding reviews.
LEARN MORE
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.
LEARN MORE
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.
LEARN MORE
MEDICAL CODING AUDIT PLATFORM
ATOM AUDIT
Atom Audit is a cloud-based application that
allows auditors to perform comprehensive
medical coding reviews.
LEARN MORE
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.
LEARN MORE
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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.
LEARN MORE
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
LEARN MORE
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
LEARN MORE
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
LEARN MORE
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
LEARN MORE
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
LEARN MORE
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.
LEARN MORE
--------------------------------------------------------------------------------
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
LEARN MORE
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.
LEARN MORE
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.
LEARN MORE
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.
LEARN 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 for both the facility and the
provider.
LEARN MORE
CRITICAL ACCESS HOSPITALS
HIA has developed a package exclusively for CAHs that addresses common coding
challenges – all for one affordable fee.
LEARN MORE
URGENT CARE
HIA partners with Urgent Care facilities to ensure their coders and providers
are following all of the updated coding guidelines.
LEARN MORE
REHABILITATION CENTERS
HIA partners with Rehabilitation Centers to ensure their procedure and diagnosis
coding is complete and accurate.
LEARN MORE
RURAL HEALTH CLINICS
HIA employs coders and consultants who are specialized in coding for Rural
Health Clinics and understand the unique RHC guidelines.
LEARN MORE
PEDIATRIC HOSPITALS
HIAs credentialed coders are up-to-date on all ICD-10 and CPT pediatric coding
guidelines. With our expertise, children's hospitals can focus on what matters
most: providing top-notch care to their young patients.
LEARN MORE
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"Your team is helping us move forward with process improvements and ensuring our
coded data is accurate and of top-notch quality [...] your reviewers have set
the gold standard of what a consultant should be. They are both currently
performing focused reviews on 100% of the work performed by a couple of coders
not meeting our metrics to assess where those coders stand. Their work is very
thorough and both are well rounded and bring a great deal knowledge within the
coding field with them. I really appreciate having them with us."
DIRECTOR OF CODING
Large Health System with multiple locations in Georgia
"Your audits were very helpful, we actually embrace them here! I have
perfectionist coders (which is a blessing) and we learn something new every
time. Thank you for the time and effort."
CODING MANAGER
Health & Surgery Center in Texas
"I wanted to tell you that you all WOW!'ed this group for sure! We were so
impressed with the exit conference. HIA consultants keep it real, down to
earth and fun! I will be happy to be a reference for any and all that are
interested!"
DIRECTOR OF HIM
Community Hospital in Massachusetts
"I usually don't go out of my way to send a compliment, but in this case it is
deserved. [HIA Coder] has far exceeded all expectations – attitude
and productivity. If we could have ten more just like [her], we would. "
CODING MANAGER
Teaching Hospital in Washington
"We have had a wonderful experience working with your management staff and your
coders! HIA has a well put together program that is heavy on education, your
coders are always dependable and responsive to communication. You all put a lot
of time into developing coder's skills with performing the quality reviews and
we appreciate your efforts and look forward to continuing this relationship."
DIRECTOR OF HIM
Children's Hospital in Ohio
"Your team is helping us move forward with process improvements and ensuring our
coded data is accurate and of top-notch quality [...] your reviewers have set
the gold standard of what a consultant should be. They are both currently
performing focused reviews on 100% of the work performed by a couple of coders
not meeting our metrics to assess where those coders stand. Their work is very
thorough and both are well rounded and bring a great deal knowledge within the
coding field with them. I really appreciate having them with us."
DIRECTOR OF CODING
Large Health System with multiple locations in Georgia
"Your audits were very helpful, we actually embrace them here! I have
perfectionist coders (which is a blessing) and we learn something new every
time. Thank you for the time and effort."
CODING MANAGER
Health & Surgery Center in Texas
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THE PEOPLE BEHIND THE NUMBERS
OUR TEAM
BETSY BAILEY
Founder & President
JOEL SHEALY
Executive Vice President
ANGIE CHRISTEN
Executive Vice President
DREW CRAWFORD
Executive Director of Business Development
VIEW MORE
CODING EDUCATION
RECENT BLOG POSTS
QUERY TIP: AVOIDING A LEADING QUERY – DON'T BE DIR...
"A leading query is one that is not supported by the clinical elements in the
health record and/or directs a provider to a specific diagnosis or procedure…”
Guidelines fo...
VIEW MORE
CODING BOWEL OBSTRUCTION IN ICD-10-CM
With the implementation of ICD-10-CM came different codes and coding rules for
many diagnoses. One of these is the coding of bowel obstruction when the patient
presents f...
VIEW MORE
CODING ELEVATED TROPONIN IN ICD-10-CM
As coders, we see physicians document “elevated troponin” often. In this coding
tip, updated for changes made effective October 1, 2023, we will look at what
this could p...
VIEW MORE
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When clients can depend on quality services delivered the right way, they find
success, and that’s how we measure our own.
SERVICES
* Acute Coding Support
* Acute Review Services
* Profee Solutions
* Coding Education
ABOUT US
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* FAQ
* Privacy
* Legal
CONTACT US
Phone: 843-235-8278
Email: info@hiacode.com
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