Medical Coding and Auditing for Rural Health Clinics

Rural Health Clinics


Rural Health Clinics have specific billing procedures and coverage considerations. HIA's credentialed coders are up-to-date on all coding and billing guidelines for RHCs. Our consulting service identifies specific areas of financial and compliance risk, provides pertinent information and educates clients on proper documentation, billing and coding practices.


Our comprehensive approach

Rural Health Clinics partner with us for:

Sample Action Plan E/M Office or Other Outpatient Services

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.


Profee Solutions from Health Information Associates


Are your providers documenting appropriately to meet current guidelines?

Guidelines change on a frequent basis. HIA coders and consultants are specialized in coding for Rural Health Clinics and understand the unique RHC guidelines.

Who assigns the codes at your facility?

Depending on who assigns the codes (physician, coder, or both) there may be differing areas of opportunity. Partner with HIA to determine if your coding is optimal and if you are being reimbursed appropriately.

Does your coding accurately reflect patient acuity?

Capturing the appropriate HCC codes can affect the RAF score and your overall reimbursement. HIA Provider Consultants reviews and assigns all relevant codes to accurately reflect the patient.  

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