FAQ

Frequently Asked Questions

FAQ

Frequently Asked Questions

What Services does Health Information Associates offer?

Health Information Associates offers medical coding services and medical coding and clinical documentation audit services for hospitals, ambulatory surgery centers, physician groups and other healthcare entities. We offer PRN support as well as total outsource support. We also offer our medical coding audit and data analytics software, Atom Audit.  

Which markets or settings do you serve?

Health Information Associates offers solutions for our clients in the following settings: short-term acute, general medicine/surgical, pediatric, academic/teaching, critical access, rehab, long-term acute, skilled nursing, surgery center, pain center, infusion center, wound center, cancer center, dialysis, home health, and imaging center.   

Do you offer medical coding services or only medical coding audits?

Health Information Associates offers both medical coding support as well as medical coding and clinical documentation audits to hospitals, ambulatory surgery centers, physician groups and other healthcare entities in the United States.

How soon can I expect results from my medical coding audit?

Clients can expect preliminary reports immediately upon completion of the audit. Comprehensive executive reports are available for Coding Leadership, Quality Assurance and Compliance departments within 2-3 weeks after completion of the audit. Action Plans and continuing education are included in the executive reports package.  

Why do I need a medical coding audit?

It is recommended that any hospital that collects governmental reimbursement undergo routine audits. Medical coding audits are a preventative measure to catch potential compliance errors that could result in liabilities or investigations. These compliance related issues can also impact your bottom line, your organization’s reputation, and most importantly, the level of care you deliver to your patients.  Audits help to mitigate compliance risks, ensure appropriate reimbursement, identify educational opportunities for coders, CDI staff and Providers, while also helping to accurately reflect the acuity level and needs of your patient population. 

How much does a medical coding audit cost?

A better question would be, what is the potential cost to your organization if you are not performing routine audits?  Often times, and depending on audit focus, these engagements pay for themselvesCosts will vary based upon the size and scope of the audit. Coding audit companies typically can charge by the hour or per record audited. 

What are the different types of coding audits?

Here’s a brief, but by no means exhaustive, list of the types of coding audits we perform by setting: short-term acute, general medicine/surgical, pediatric, academic/teaching, critical access, rehab, long-term acute, skilled nursing, surgery center, pain center, infusion center, wound center, cancer center, dialysis, home health, and imaging center.  

How do you audit a medical coder?

HIA Consultants evaluate coding assignments to ensure that they are supported by clinical documentation within the record and are in accordance with the official coding guidelines. Medical coding audits should consist of reliable and consistent recommendations, delivered in a constructive and educational manner. These are the qualities that are imperative to a successful engagement with a medical coding and audit review company.  

How do you select a medical coding company?

When selecting an external auditing company to perform your medical coding audit, you should keep in mind your overall audit objective and ask yourself the following: Does the company provide a review that meets your audit parameters? Do they schedule a review prep call and have consistent communication throughout the audit? Do they offer an audit exit call to discuss any review findings with you and your team in a clear and educational manner? What type of reports are provided to you after the review? Does the company provide any continuing coder or provider education? Do they have a rebuttal process in place? 

How much do medical coding auditors make?

The national average for a Medical Coding Reviewer is $70,000/year. Salary or hourly compensation is based off of level of education, credentials and experience.