Are your billing and documentation practices compliant with applicable federal laws?
Are you receiving appropriate reimbursement for each and every service rendered?
Does your compliance and revenue integrity program have the necessary resources?
HIApro is a professional fee consulting service provided by Health Information Associates (HIA).
HIA was founded in 1992 with a mission to support the compliance and revenue integrity needs of health care delivery systems and physicians.
Our service identifies specific areas of risk, provides pertinent information about laws/regulations and educates clients on proper coding, billing and documentation practices.
The main objective is to help physician practices survive in an environment of increased payor scrutiny and declining revenues.
Did You Know
The False Claims Act states that a false or fraudulent claim presented to an officer or employee of the US Government is liable to the US Government for a civil penalty of not less than $5000 and not more the $10,000, plus 3 times the amount of damages which the government sustains because of the act of that person. (Per Finding).“
On average, 1 out of 3 records audited by HIA identified reimbursement discrepancies and/or opportunities for compliance improvement.“
The Affordable Care Act requires a wide range of providers – from solo physician practices to the largest integrated health systems – to establish and maintain compliance and ethics programs in order to continue participating in Medicare and Medicaid.”