Outpatient Coding Support
Outpatient Coding Support Services
Healthcare organizations are facing an increasing amount of financial and compliance related risks. With the move towards value-based payment models, quality metrics and costs will dictate reimbursement, and the need for qualified coding professionals has never been greater. Many of our clients partner with HIA to replace underperforming coding vendors as they were experiencing both short and long term negative impacts including: DRG changes, increased payer denials, CMI fluctuations and skewed quality metrics.
HIA’s remote coding service features:
- Formal quality assurance and continuing education program
- On-demand reporting and online scheduling with Nucleus
- Transparency with shared daily coding logs and internal audit results
- Seamless client onboarding process
Here's just a peek at the transparency we offer in Nucleus, HIA's secure client portal:
Daily Coding Logs emailed directly
- Total records coded
- Total charges dropped for the day
- Total hours worked
- Total Queries and Pending Reasons
- List of PSI and Quality Measures coded
- Personalized Coding Support dashboard
HOW WE CAN HELP
Our comprehensive approach
HIA can support its client’s day-to-day operation with remote medical coding assistance to meet ever-changing needs. We’re there when you need us most.
HIA’s education department, HIAlearn, keeps staff abreast of changes pertaining to ICD-10-CM/PCS, CPT-4 and HCPCS Level II coding on a continual basis. Our education team has developed over 200 Action Plans available that can be submitted to AAPC or AHIMA for CEU credit. Action Plans are designed to refine the skills of coders by providing targeted and interactive sessions in an easily digestible format. Each session lasts on average one hour 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. Access to all of our educational content is available for your organization for a per user fee, however, individual Action Plans are not available for purchase.
Download Sample Action Plan
Action Plans are designed to cover topic areas that impact coding, have been the frequent source of errors by coders and usually affect reimbursement. This action plan reviews laceration repairs, the different classifications, the key components for selecting the correct CPT codes, wound repair with multiple methods, and measuring wounds.