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WHAT OUR CLIENTS SAY

“The HFS Consultants are seasoned professionals. They not only understand our needs but they truly understand our business and our role in the provision of healthcare in a rural setting.”
– Charles H. Harrison
Chief Executive Officer,
San Bernardino Mountains Community Hospital District
Read case history >>
Gwynn Smith

Gwynn Smith

Partner

Gwynn's experience provides a broad overview and expertise for health care operations in clinics, hospitals and post acute facilities.

HIM Solutions From Trusted Experts

Health Information Management


Our highly experienced team of Health Information Management professionals works in partnership with every type of facility, from hospitals to rural health clinics to physician offices to help enhance their bottom line.  


We review your current HIM processes, pinpoint the support required for performance improvement, and provide proven best practices to organize and manage health information functions to meet today’s unique health care challenges. For over 30 years, our consultants have assisted health care organizations with planning and problem-solving to chart a clear and effective direction for the full range of an organization’s HIM needs.

HIM Services

HIM Management:  Wipfli/HFS provides highly skilled interim and long-term HIM management staffing to lead daily operations in instances such as a sudden management change, a department re-organization, an extended leave, or during a search for a permanent candidate.

HIM Operations: Our experts successfully improve operations in the HIM setting. We provide interim coding, off-site coding, operational assessments, and education to your coders and providers for accuracy. Also offered: HIPAA compliance, Title 22 and TJC assessment and education.

Revenue Cycle Management: We improve your revenue cycle efficiency. Our services include billing and patient accounting, workflow analysis, CDM review and updates, receivables management, billing systems review and planning.

Coding Review and Auditing Services for Reimbursement and Compliance: We provide hospitals, ambulatory surgery centers, physician groups, skilled nursing facilities, and home health agencies with an external review of the quality of diagnostic and procedural codes submitted for reimbursement and compliance with regulatory requirements. We provide hospitals with a customized approach to RAC assessments and appeals. We also assist in evaluating manual and automated systems to ensure that they effectively support accurate and timely documentation, coding and DRG/APR-DRG/HCC/APC assignment.

Patient Problem List: Our team is available to conduct a patient centric assessment of the information contained in the organization’s Patient Problem List. Our assessment includes a review of the accuracy and relevancy of the diagnosis and codes found in the patient problem list at the patient and encounter level. We also review the policies in place for the entry and maintenance of the patient problem list. Wipfli/HFS is committed to ensuring that our clients have limited their compliance liabilities in this area as well as ensuring that the data available in the patient problem list is accurate for population health management activities.

Wipfli/HFS’s ICD-10 Services

ICD-10-CM/PCS Post-Implementation Assessment and Education
We conduct ICD-10-CM/PCS post-implementation assessment that addresses information system processes, workflow issues, and the development of a customized educational program that meets the needs of inpatient coders, medical staff, finance department, nursing, and ancillary departments. We also offer customized educational programs to address the needs of individual coders as well as medical providers and other affected personnel.

  • On-site and/or webinar educational sessions for HIM coders to become comfortable with the complexities of ICD-10.
  • Development of targeted educational programs to meet the specific needs of your medical staff.
  • Assessment of existing clinical documentation integrity programs to ensure that they incorporate feedback to physicians regarding additional information that is needed for accurate ICD-10-CM/PCS coding.
Technical project management assistance targeted at addressing the operational impact of ICD-10 on charging, coding, billing, and payment processing.
RESULTS
Case Study Alt Attribute

HFS Consultants worked closely with the client to minimize demands on their staff time while still fulfilling the role of an IRO ...

RESULTS
Case Study Alt Attribute

For the flagship facility (North Mississippi Medical Center), our firm assisted with a NLERP program that netted over $8 million in annual reductions ...