Profee Solutions   

Profee Review

HIApro - Profee Review 

 

Here at HIA, we understand the value of supporting physician practices, and HIApro focuses on just that. HIApro is a professional fee consulting service. Our service identifies specific areas of risk, provides pertinent information and educates clients on proper coding, billing and documentation practices. Our main objective is to build long-lasting relationships with physician practices.  

As the number of employed physicians and mid-level providers continues to grow, health systems are faced with additional financial and compliance related challenges.  Partnering with a team of qualified professional fee consultants has never been more important.   

HIApro assists healthcare providers by performing coding, billing, documentation compliance reviews and education. Our comprehensive service will discover trends that may adversely affect quality scores, identify high risk areas prone to payor audits, help reduce claims denials and ensure appropriate reimbursement. 

A few areas of opportunity we have been seeing:  

HCC Capture

Global Surgical Period

Incident to/ Shared Visits

Medical Wellness Visists

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
Pro Summary Worksheet Dashboard-1
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

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 
  • Individualized Action Plans 
EM Office or Other Outpatient Services Sample Action Plan

Download Sample Action Plan

Evaluation and Management Office or Other Outpatient Services

Action Plans are designed to cover topic areas that impact coding, have been the frequent source of errors by coders and usually affect DRG assignments. This action plan reviews the clinical aspects of respiratory failure, respiratory insufficiency, causes and treatments. It covers official coding and sequencing advice as well as the coding pitfalls associated with respiratory failure diagnosis coding.

DOWNLOAD ACTION PLAN
Settings we serve

Settings

HIApro offers Evaluation & Management (E/M) and Surgical CPT coding and consulting services for the following specialties: 

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

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