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 »

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Acute Coding Review and CDI

Mitigate compliance risk and ensure appropriate reimbursements.
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Profee Solutions

Compliance/financial reviews, education and coding support. Learn more »

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Coding Education

One-on-one, group, and on-demand training. Learn more »

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Coding & Auditing Careers

Join our family and become one of the People Behind the Numbers. 
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Atom Audit

Medical coding audit and data analytics platform. Learn more »

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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.

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Cloud Based

No install required. Access from anywhere, anytime.
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Increased Auditor Efficiency

Quickly audit records with both original and recommended coding.
 
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Coder Response Workflow

Coder access included for full rebuttal response process.
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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

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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

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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

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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  

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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 

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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.

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WHY WE'RE DIFFERENT

Why HIA?

Over 200 Action Plans

Designed to refine the skills of the experienced coder by providing targeted and interactive sessions in an easily digestible format. Each session lasts one hour on average and is accompanied by a ten question quiz to ensure comprehension.

Topics are derived from common audit findings and range from the day’s most challenging procedures to wider reaching concepts such as principle diagnosis selection.

  • One hour Action Plans
  • 10-minute quiz
  • Submit for CEUs
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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.
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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.
Health Information Associates Quality Assurance Team
WHO WE WORK WITH

Markets we serve

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.

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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. 

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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. 

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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. 

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Critical Access Hospitals

HIA has developed a package exclusively for CAHs that addresses common coding challenges – all for one, budget-friendly,  fixed annual fee.  

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Urgent Care

HIA partners with Urgent Care facilities to ensure their coders and providers are following all of the updated coding guidelines.

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Rehabilitation Centers

HIA partners with Rehabilitation Centers to ensure their procedure and diagnosis coding is complete and accurate. 

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Rural Health Clinics

HIA employs coders and consultants who are specialized in coding for Rural Health Clinics and understand the unique RHC guidelines. 

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Home Health

HIA has taken a team-based, consultative approach to home health and hospice medical coding and reviews. When you work with us, you get the whole team

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Texas state

"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

Massachussets State

"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

Washington State

"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 

 

Ohio State

​​​​​"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

 

Georgia

"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

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

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Coding Education

Recent Blog Posts

Part 4: New ICD-10 Codes and IPPS Changes for 2023

New Technology Add-On Payments (NTAP) for 2023 In the previous three parts of this four-part series, we discussed the new ICD-10-CM diagnosis code changes, ICD-10-PCS pro...

Part 3: New ICD-10 Codes and IPPS Changes for 2023

IPPS Changes for FY2023 In the previous two parts of this four part series, we discussed the new ICD-10-CM diagnosis code changes and ICD-10-PC procedure code changes.  F...

Part 2: New ICD-10 Codes and IPPS Changes for 2023

ICD-10-PCS Procedure Code Changes This is Part 2 of a 4-part series on the 2023 ICD-10 Code and IPPS changes. In this part, the ICD-10-PCS procedure codes are presented.