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Ambulatory Solutions   

Ambulatory Reviews

Coding Review & Auditing Services – Ambulatory

 

 

Health Information Associates is the leading provider in procedural/surgical coding, auditing and education. We understand that even for the most experienced coder, advanced CPT surgical coding can be a challenge. Our consulting service identifies specific areas of financial and compliance risk, provides pertinent information and educates clients on proper documentation, billing and coding practices.

Our Ambulatory Solutions provides coding support for Ambulatory Surgery Centers and Urgent Care Centers.

HOW WE CAN HELP

Our comprehensive approach

Revenue Integrity

Coder Development

Focused Audits

Denials and Appeals

Quality Assurance

Account Resolution

Coder Assessment

Conversions/Upgrades

Medical Coding Audit Platform

Finally, a powerful audit tool for both your professional fee and acute reviews.

Atom Audit makes managing your organization's audit process simple. The platform supports Acute Inpatient and Outpatient, Professional Fee and Ambulatory Surgery Centers all for one annual fee. 

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Settings we serve

Settings

Here’s a brief, but by no means exhaustive, list of the settings we serve most often:  

Other ambulatory review solutions. 

Solutions

Interim Auditing

Manage billing edits, address payer denials, investigate skewed quality metrics, and educate coders one-on-one with HIA's Interim Auditing services.

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Denial Management

Denied or rejected claims pose significant financial challenges for most all healthcare providers. HIA’s Denial Management service can help identify the root cause.

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Case Mix Index

Inaccurate coding can result in a lower CMI, leaving revenue on the table. Partner with HIA to replace underperforming coding vendors or do perform a focused coding audit. 

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FAQ

Are your coders up to date on the newest guidelines and applying them correctly?

With yearly CPT coding updates, it can be hard to keep up with all of the new coding guidelines. Partner with HIA to perform a review and see if your coders need any further education.

Are your coders following the changes being made to the LCDs and NCDs?

The LCD/NCDs and bulletins are continuously changing and difficult to manage. Partner with HIA to perform a review and see if your coders need any further education.

Do you give feedback to your providers on documentation opportunities?

HIA Consultants can educate your providers on the importance of documenting and reporting appropriately.

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