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
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
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