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Medical Coding and Auditing for Children's Hospitals

Pediatric Hospitals


In the dynamic world of healthcare, pediatric medical coding stands out as a particularly challenging field, fraught with complexities and requiring specialized knowledge. 

Children are not just small adults – they present with their own spectrum of diseases, many of which are rare or nonexistent in adults. Accurately coding these pediatric-specific conditions requires a deep understanding of a wide range of pediatric diseases.

HIAs credentialed coders are up-to-date on all ICD-10 and CPT pediatric coding guidelines. With our expertise, children's hospitals can focus on what matters most: providing top-notch care to their young patients.

 

HOW WE CAN HELP

Our comprehensive approach

Our pediatric care clients partner with us for:

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What to Consider Before Your Next Coding Audit

A medical coding audit is a process that includes internal or external reviews of medical coding and billing accuracy, procedures or policies in place, and any other component that affects the medical record documentation. 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. Download our eBook to learn what to consider before your next medical coding audit.

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Coding Support Services from Health Information Associates

FAQ

Case Mix Index (CMI) dropping?

Insufficient documentation and inaccurate coding can lead to a decrease in CMI. Partner with HIA to replace underperforming coding vendors or to perform a focused coding audit to optimize your CMI.

Increasing payer denials?

Lack of available (or inexperienced) resources to review can lead to a backlog in addressing payer denials. Partner with HIA to replace underperforming coding vendors or have us assist with your Denial Management. 

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.

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