Profee Solutions   

Profee Coding Review

HIApro - Profee Coding 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

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

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

Atom Audit - Inpatient, Outpatient and Professional Fee Modules - Coding Audit


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.   

E/M Free Course

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


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 


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!