Health Information Management

Recent Service Engagements

The relevance and oversight of clinical documentation and health information has never had more influence in healthcare as it has today. The accuracy of such data and the timeliness of its completion and movement through systems and records have a direct effect on compliance and reimbursement, and therefore represent a major operational benefit if managed well. Accurate documentation is the responsibility of many including physicians, certified coders, nursing, and other key staff, and the management and expectations of the process are under constant change.

HFA professionals have the experience and credentials to provide the highest quality of service available in providing the organization the comfort and assurance of a well managed clinical documentation process.

• Acute & Non-Acute Care
• Backlog Elimination
• Hospital & Physician Coding Audits
• Compliance Audits
• DRG, CPT, APG, APC, E&M Reviews
• Educational Programs
• Interim HIM Management
• JCAHO Preparation
• Litigation/Expert Witness Support
• On-Site & Remote Solutions
• Operational Assessments
• Outsourcing Services
• Physician Documentation Awareness Programs
• Reimbursement Maximization
• Trauma Consulting Support
• Trauma Registry Abstracting

Recent Service Engagements

• Managed numerous health information coding audits nationwide.
• DRG validation, CPT/APC, E&M reviews to establish accurate hospital case mix, reimbursement, and compliance.
• Conducted ICD-9-CM coding education and provider documentation awareness programs for both facility-based and physician-based clients.
• Prepared HIM departmental operational assessments to improve departmental efficiency and reduce days in receivables.
• Significant experience with JCAHO survey preparation including implementation of procedures ensuring compliance and establishing clinical pertinence plans.

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