With today's regulatory climate and transition to value-based reimbursement, accuracy has never been more important. Since the implementation of ICD-10, Coders have been challenged to keep-up with thousands of Medicare/Medicaid regulations. They're also required to work in close collaboration Clinical Documentation Teams, Physicians, Compliance department, Revenue Integrity and Quality / Case Management departments.
OPTIMIZE YOUR CLINICAL DOCUMENTATION PROGRAM
H.I.P. provides a wide range of Consulting, Auditing and Education services designed to help your organization with Clinical Documentation Improvement.
Assigning the correct level of service is not as easy as it sounds, especially when documentation doesn't support your level of service. Over-coding is a serious problem which invites government audits and other headaches, but under-coding is equally troubling. CMS reports providers were underpaid $1.06 billion last year primarily from established patient office visits.
Concerned about staffing shortages? HIP's Utilization Review and Case Management nurses are available on an "as needed" basis for short term or long term assignments
Assessing accuracy and compliance with industry standards, we focus on the areas of greatest risk and highest reward. Our consultative approach focuses on identifying specific opportunities and generating actionable insights to improve performance and strengthen results.
Many healthcare systems have successfully turned to interim leaders to keep the momentum positive and to solve crucial problems. The outcome? Significant return on investment, reduced staffing turnover, less stress and more efficient operations.
Create sustainable results with HIP's Clinical Documentation Improvement Solutions.
Health Information Partners® Tumor Registry Services provides all-inclusive case-finding and abstraction at the highest level of specificity. We understand the value a credentialed Certified Tumor Registrar brings to your program and only employ certified tumor registrars residing in the U.S. and who are authorized to work in this country.
HIP Denial Management & Edit Reconciliation Auditors possess a hybrid coding and billing skill-set which uniquely qualifies us to resolve NCCI Code Pair Edits, Medically Unlikely edits (MUE's), as well as Custom edits.
Payable charges for patients in clinical trials are often billed incorrectly or simply overlooked. Unfortunately, Revenue Cycle managers struggle with a lack of subject matter expertise combined with complex billing and compliance regulations.
- Minimizes Compliance Risk from Incomplete or Unclear Documentation
- Increases Revenue Cycle Speed
- Improves Documentation & Coding Accuracy
- Provides Accurate Data for Medicare Quality Indicators
- Drives Appropriate Code Selection for Accurate Reimbursement
- Reflects Patient Acuity Levels
- Ensures Clinical Documentation Meets Regulatory Standards
- Heightens Physician & Coder Knowledge