Coding and Audit
Coding is complex and changes all the time. Qualified and competent coding professionals are hard to find—and to keep! Your revenue is at risk. We understand.
H&A offers a solution to help you meet the challenges of rising AR days, increased regulatory scrutiny, and vacant coding positions. Our business model is based on quality deliverables, just like yours. We provide:
Coding Services |
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Audit Services |
- Onsite or remote coding service
- All record types, all facilities
- Coding department management
- Education, training and development
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- Coding and compliance audits, including HCCs
- DRG, APC, and charge auditing
- Clinical documentation and medical necessity
- Charge master maintenance
- Charge auditing
- Education, training and development
- Medicare Advantage HCC consulting
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Revenue Integrity
H&A provides a specialized and niche service line that bridges the relationship between coding and revenue integrity for all types of providers and health plans. By understanding the correlation between coded data accuracy (HIM, CDM, UB-04, and HCFA-1500) and reimbursement, we are able to help clients indentify and develop performance improvement initiatives that deliver proven, sustainable results.
- Revenue experts for inpatient, outpatient, all specialties, and Medicare Advantage plans.
- Data-driven approach with extensive analysis and pro-active programs.
- Consulting and auditing services to pinpoint revenue cycle disconnects.
- Best practice forms and tools to improve revenue development, including HCCs.
- Tracking, trending, monitoring, education and training for sustainable success.
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RAC Management
Medicare's Recovery Audit Contractors (RACs) are coming, H&A experts will help you be prepared.
Using a data-driven approach, H&A identifies and quantifies the financial risks posed by the RAC program. We focus only on issues and specific accounts with the highest probability of coding, billing, documentation, and case management errors. From there, you receive valuable knowledge and tools to mitigate risk, manage the process, and stop losing Medicare revenue! We provide:
- RAC risk assessments and financial forecasting.
- Transaction auditing of targeted, hospital-specific MS-DRG, medical necessity, hospital outpatient, and physician service accounts.
- Organizational deployment of RAC readiness and management programs.
- Complete education and training for RAC.
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Healthcare Consulting
Some healthcare consulting firms assess your organization's strengths and weaknesses, submit a lengthy report, and then fly away. You're left with heavy binders, outdated strategies, and a costly consulting bill. At H&A, this is just not the case! Your success is our success; we become part of your team.
- Complete coding consulting and outsourcing services
- Revenue integrity consulting
- Education and training programs for coding, billing and RAC
- Medicare Advantage HCC auditing and training
- Other customized healthcare consulting services and programs
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