Health Information Management Consulting

Our expertise across the Health Information Management (HIM) continuum affords us the ability and resources to provide comprehensive consulting services to healthcare facilities around the country. Our HIM consulting services are designed to assist our clients with critical areas of coding and billing, including:
  • Inpatient, Outpatient and ED Coding Audits
  • Comprehensive RAC preparation including test audits and subsequent plan to get you on the right track
  • Denial Management
  • Chargemaster Review (limited to ED)
  • Coding and Documentation Education
  • Concurrent Analysis of Billing Processes and identification of cycle impediments
  • Large-Scale Medical Record Scanning, Paper-Electronic Format (Production and Consulting basis)
HIMConsulting
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Client Services

Client ServicesOur client services team has one responsibility:
Keep our clients happy!

They handle the training of on-site clerical personnel, and they act as liaisons between your facility and the rest of HCCS. They are available anytime to answer questions, address client concerns, and assist clients in any other way they can. Regardless of where your facility is located, HCCS client services is close at hand. They have proven very effective problem solvers, and have a superb track record of averting even the most certain disasters in HIM departments.

 

HIM Reporting

Data Collection, Analysis, and Reporting

Substantial benefits are derived from increasing an organizations ability to track projects and measure change. Giving statistical data to what otherwise may have been a blind spot helps bring awareness to areas of improvement and strengths. Traditional reports like turnaround time and coding accuracy are always provided via our Client Services team. Their ability to create custom reporting is only limited by the amount of data they are granted access to. Collection of such data allows the team to diagnose any billing inefficiencies or find other areas of improvement. For clients utilizing our ChartStreamâ„¢ software, actionable feedback is particularly easy for HCCS to compile. Clients not using ChartStream can also provide HCCS with single-day DNFB reports in order to receive the same diagnoses.

Typical hospitals can easily identify that they have a problem, like cash-flow holdups, but many struggle when trying to pinpoint why the problem exists in the first place. With the data collected from facility reports, HCCS can quickly locate impediments to the billing cycle such as MDs with bad documentation, slow departments or sites, and even identify days of the week that need extra attention. For example, if Dr. X tends to omit in his op reports every Friday that he is at Facility A, HCCS's Client Services team will flag the problem and contact the facility so they can address the issue and remove any lag time in coding Dr. X's charts. Significant findings are shared as soon as they are uncovered. Summaries are compiled as needed and reviewed in scheduled meetings.

 

Responsible Party Summary

Reporting will help each facility identify any bottlenecks in their billing cycle. Knowing is half the battle, once an issue is found a solution can be created.

 

Data Collection, Analysis, and Reporting

"Exactly which days are hurting us the most and is our team doing anything to improve this?"

Trends affecting the billing cycle, are among many other reports that are provided to each facility on a regular basis.

 

Data Collection, Analysis, and Reporting

Not only do we identify impediments like a specific physicians holding up billing; we also identify the specific error so that it can be addressed and corrected.

Medical Coding & Documentation Auditing

Auditing

 

HCCS offers medical coding audits that are designed to give you an accurate picture of where your facility stands in regards to all facets of coding accuracy. Now more than ever it is critical to identify and subsequently rectify coding errors before your errors are discovered by someone like a RAC.

 

 

The sample of the ED audit includes:

  • Verification of ED level of service assigned for facility services
  • Verification of ED level of service assigned for physician services, if applicable
  • Verification and identification of all procedures performed and reported by ED facility and/or physician staff
  • Verification of ICD-10 Diagnosis code assignment, including Principal and Secondary Diagnoses
  • Medical Coding and Documentation Education
  • Verification of coding for medical necessity

Based on the audit results, information is presented to provide:

  • Average level of service as coded by your facility, both facility and professional
  • Average level of service as coded by HCCS, both facility and professional
  • Average charge per patient as billed by your facility
  • Average charge per patient if HCCS had coded the ED charts
  • Analysis of documentation practices
  • Analysis of coding, both ICD-10 and CPT
  • Appropriate use of modifiers
  • Comprehensive comparative analysis of facility and professional charges
  • Financial analysis of facility coding compared to HCCS Coding
  • Analysis of facility billing practices, including price structure

These errors are much more common than many believe and the presence of any one of them can be too much to ignore from a compliance standpoint and is indicative of undercoding that can amount to tens, if not hundreds, of thousands of dollars in lost revenue each year.

Finding a few hundred thousand dollars in entirely legitimate, yet unrealized revenue at a facility is a discovery of these audits that is not at all rare. This is the product of accurate coding, and is why our company standard of 95% accuracy is so important.

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