Archive for December 2019
End of The Fiscal Year Push!
Every organization associated with Health Information Coding has felt the pressure to catch everything up at the end of the Fiscal Year. It helps to understand what is at stake and how you can help. Some Fiscal Years (FY) correspond to the calendar year, while others start/end at times established for taxing and accounting purposes. Annual Financial reports are generated during this time to show the success or failure of the organization to meet its goals and expectations.
Read MoreNew Year, New Codes: 2020 CPT Code Changes
As we turn the calendar to a new decade, the 2020 CPT code changes take effect. This year there are a total of 394 changes to CPT, bringing the total number of codes to 10,471. This includes 248 new codes, 71 deletions, and 75 code revisions, according to the American Medical Association (AMA). This is Part 1 of a 2-Part Series. In this article, we will discuss the changes in the Surgery Section.
Read MoreMedicare Advantage Insurers Use Reviews to Get Higher Payments
An investigation by the Office of Inspector General (OIG) revealed Medicare Advantage insurers might be overstating patients’ diagnoses without the proper documentation to receive larger payments. Based on the 2016 Medicare Advantage encounter data analyzed by the OIG, insurers were able to get an extra $6.7 billion in payments in 2017.
Read MoreOptimal Quality Coding Prevents Medical Claims Denials
Medical billing denials generate significant cost for providers and hospitals that could be avoided by improving claims data management and optimizing medical coding processes. Optimal quality coding effectively prevents medical claims denials by reducing the potential for manual error and addressing concerns over fast approaching time limits.
Read MoreTop 5 Common Myths of Coding Outsourcing
These are 5 common myths of outsourcing, and how YES HIM Consulting debunks these concerns with a skilled team of consultants, coders, and auditors.
Read MoreIs Your Medical Data At Risk?
Is your medical data at risk? Google just announced a partnership with Ascension, the country’s second-largest hospital system, that will allow the tech giant to store and analyze millions of medical records to improve healthcare services. HIPAA has been amended to include regulations for the safeguarding and sharing of information digitally as new systems have entered the scene…
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