Setting

Medical Coding and Auditing for Critical Access Hospitals

Critical Access Hospitals 

 

Medical coding and auditing play a crucial role in the effective functioning of Critical Access Hospitals (CAHs), ensuring accurate documentation, appropriate reimbursement, compliance with regulations, financial sustainability, and quality improvement.  

As specialized healthcare facilities serving rural areas with limited resources, CAHs face unique challenges in delivering essential services while adhering to specific Medicare reimbursement rules and complying with regulatory requirements. Proper medical coding facilitates efficient communication, precise billing, and accurate reimbursement, while auditing processes help identify errors, ensure compliance, and safeguard against potential fraud or abuse.

The meticulousness of coding and auditing practices in CAHs is paramount, as it supports the financial viability of these hospitals and enables them to provide high-quality care to underserved populations. 

At HIA, we don't believe in a 'one size fits all approach.' That's why we've developed a solution exclusively for CAHs to assist with these challenges. HIA's Critical Access Package is aimed at providing a reliable resource to address all 3 important functions - coding support, coding audits, and coding education - all for one affordable fee.

HOW WE CAN HELP

Our comprehensive approach

Critical Access Hospitals partner with us for:

case study critical access hospital notebook cover

Download Case Study: Critical Access Hospital

Before engaging HIA, the Critical Access Hospital experienced persistent coding delays and unresolved billing issues with another outsourcing firm, affecting the entire organization including 10 Rural Health Clinics (RHC) and several non-RHCs. Download the case study to learn the client's problem, HIA's evaluation, and HIA's implementation.

DOWNLOAD

Coding Support Services from Health Information Associates

FAQ

Increase payer denials?

Lack of available (or inexperienced) resources to review can lead to a backlog in addressing payer denials. Partner with HIA to review those denials to confirm that they are truly a coding error and determine if they can be appealed.

Increase in billing edits?

Many facilities are facing an increasing volume of billing edits. HIA can identify the root cause and mitigate future edits.  

Failing quality measures?

Coding has the ability to adversely impact your quality measures. Partner with HIA to ensure that you have complete and accurate coding. 

Do you give feedback to your providers on documentation opportunities?

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

Contact Us