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Compliance Auditing & Risk Management

Pinpoint risk. Protect revenue. Build confidence.

coding-bottleneck

The Challenge

Compliance Gaps Aren’t Just Mistakes - They’re Expensive

As audit scrutiny intensifies, even routine errors in coding or documentation can trigger financial penalties, payer denials, or reputational damage. Teams often lack the time or tools to track issues before they grow.

Left unchecked, this leads to:

  • Revenue loss from inaccurate coding
  • Risk of external audits and penalties
  • Gaps in internal policies and procedures
  • Unresolved staff knowledge issues

OUR SOLUTION

Purpose-Built Audits with a Practical Focus

We don’t overload you with reports. We help you understand what’s wrong, why it matters, and what to do next. HIP combines clinical and coding expertise with proven tools to give you the insight – and support – to close gaps fast.

  • Facility and pro-fee coding audits
  • All record types: inpatient, outpatient, clinic
  • MS-DRG, APR-DRG, CPT/HCPCS, HCCs, and E/M
  • Aligned to CMS, AMA, AHIMA, and payer standards
  • Web-based reporting with dashboards and trend analysis
  • Optional follow-up education and documentation training
  • Pre-bill, concurrent, or retrospective audits
credentialed-coders

HOW IT WORKS

Our Audit Process

What to Expect – Step by Step

  1. Focus the Scope
    We review recent trends, denials, and audit triggers to define the right sample set and objectives.
  2. Run the Audit
    HIP’s credentialed auditors review records – fast, consistent, and secure.
  3. Deliver the Results
    You’ll receive a clear summary of findings, impact, and recommended next steps.
  4. Support Your Team
    We provide targeted training or documentation education based on audit results, so the fixes stick.

Why Choose HIP For Your Compliance Auditing

HIP audits are structured for action, not just review. We work as an extension of your team to improve internal accuracy, reduce exposure, and build confidence.

100_us_based

100% U.S. Based

No offshoring. All staff reside and work in the U.S.

ahima-aapc-certified

AHIMA/AAPC

Every coder holds active credentials.

10-years-experience

Proven Professionals

10 years of experience on average

rapid-deployment

Rapid Deployment

Get support mobilized in days, not weeks.

No Long Term Contracts

No Contracts

Flexible engagements with no minimum volume.

monthly-qa-reviews

Monthly QA Reviews

Ongoing audits for accuracy and compliance.

strict-vetting-standards

Strict Vetting

Drug tests, credential verification, etc.

HIP Inc - Direct Oversight

Direct Oversight

Projects led by experienced managers, not freelancers.

stay-informed

Stay Informed

Our quarterly newsletters share timely insights across all service lines - including regulatory updates, reimbursement trends, documentation best practices, and compliance strategies.

 

Download Recent Newsletters:

COVID-19 Coding Tip Sheet
Influenza and Coronavirus Coding
COPD v.s. Emphysema

Take Control of Compliance Risk

Let us help you identify and resolve gaps before they become liabilities.

Start an Audit
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HIP provides financial optimization, compliance support, and revenue cycle solutions for hospitals, physician groups, and healthcare organizations.

(866) 622-8300

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Services

  • Compliance Auditing
  • Clinical Research Billing
  • HCC Risk Adjustment
  • Physician E/M
  • Denial Management
  • Tumor Registry Abstracting
  • Case Management
  • Clinical Documentation
  • Cybersecurity
  • Coding
  • Telehealth Documentation
  • Interim Leadership

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