Profee Solutions
Profee Coding Review
HIApro - Profee Coding Review
At HIA, we understand the challenges physician practices face, and HIApro is designed to provide targeted support. As a professional fee consulting service, HIApro identifies areas of risk, educates clients on proper coding, billing, and documentation practices, and fosters lasting partnerships with healthcare providers. With the growing number of employed physicians and mid-level providers, addressing financial and compliance challenges is more critical than ever.
HIApro delivers comprehensive coding, billing, and documentation compliance reviews, along with specialized education. Our AI-powered risk analysis tool benchmarks performance against CMS data, offers specialty-specific insights, identifies trends impacting quality scores, highlights high-risk areas prone to audits, and ensures appropriate reimbursement—all to reduce denials and safeguard compliance.
A few areas of opportunity we have been seeing:
HCC Capture
Global Surgical Period
Incident to/ Shared Visits
Medicare Wellness Visits
A sneak peek at what we can offer on-demand:
- Detailed worksheet for records with recommendations
- Consolidated summary of findings
- Individual provider/coder accuracy breakdown
- Detailed listing of all diagnoses reviewed with accuracy rates based on potential changes
- Educational opportunities for providers/coders
HOW WE CAN HELP
Our comprehensive approach
Fulfill compliance plan requirements
Coverage for internal auditor vacancies
Onboarding newly employed providers
Special projects and investigatory reviews
Due diligence reviews for acquisitions
AI enabled risk analysis
Education
Following our reviews, HIA offers a multi-pronged approach to educating the relevant stakeholders in your organization. It all starts with an executive summation conference to discuss overall findings. This is followed by an educational session involving your coding team, providers and any others from your organization that you wish to include. In order to minimize interruption to daily production, these sessions are usually one to two hours in duration and focus heavily on common trends and opportunities. Individual educational needs are met with a coder specific action plan drawn from review findings and supported by HIA's proprietary learning management system. All facets offer opportunities to gain CEU's and represent a comprehensive solution to meet educational needs.
- Executive summation conference
- Provider/coder education session
- Coding Education
- Individualized Action Plans
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Download Free Course
Evaluation and Management Office or Other Outpatient Services
HIAlearn courses are designed to cover topic areas that impact coding, have been the frequent source of errors by coders and usually affect DRG assignments. This course reviews E/M services based on Time and Medical Decision Making (MDM).
Settings we serve
Settings
Provider Specialties
- Adult Intensivist
- Allergy
- Anesthesia
- Bariatric Medicine/Surgery
- Burn/Trauma
- Cardiac Catheterization
- Cardiology
- Cardiovascular Surgery
- Colorectal Surgery
- Dermatology
- Electrophysiology
- Emergency Medicine
- Endocrinology
- Family Practice
- Gastroenterology
- General Surgery
- Geriatrics
- Gynecologic Oncology
- Hematology/Oncology
- Hepatobiliary
- Hospitalist
- Infectious Disease
- Internal Medicine
- Interventional Radiology
- Medical Genetics
- Neonatology
- Nephrology
- Neuroradiology
- Neurology
- Neurosurgery
- Nuclear Medicine
- Obstetrics & Gynecology
- Occupational Medicine
- Ophthalmology
- Oral Surgery
- Orthopedics
- Otolaryngology / Head & Neck Surgery
- Plastic & Reconstructive Surgery
- Podiatric Surgery
- Psychiatry
- Pulmonary Medicine
- Radiation Oncology
- Radiology
- Rheumatology
- Surgical Oncology
- Thoracic Surgery
- Transplant Surgery
- Urology
- Vascular Surgery
- Wound Care
Other Solutions and Services
Solutions
Ready to take the next step?
Whether you have questions or want to explore your options, we're here to help. Reach out to us and let's see how we can assist you. Contact us today!
