YESBLOG: HIM & CODING NEWS
The YES HIM Consulting blog provides medical coding news, updates, and resources for health information management and coding professionals. Subscribe to the YES HIM & Coding Insights Newsletter today.
A coding query is a communication tool or process used to clarify documentation in the medical record to support accurate diagnosis and procedure code assignment. This guide summarizes best practices taken from nationally recognized CDI standards.
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The alignment of UM and CDI has shifted from a best practice to a financial imperative. When these teams operate in silos, gaps in medical necessity rationale, clinical validation, and admission status decisions become fertile ground for denials.
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The Department of Justice’s recent record-breaking healthcare fraud enforcement actions – $14.6 billion across 324 cases – underscore what we’ve been telling clients all year: compliance isn’t optional anymore. We work alongside healthcare organizations to strengthen their compliance infrastructure before issues arise.
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CMS requires all providers to maintain a comprehensive medical records program that protects the integrity, confidentiality, and accessibility of patient records. Whether your facility was just cited or you’re proactively strengthening your compliance efforts, our RHIA and RHIT experts are equipped to guide your team through the entire process.
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We are thrilled to announce an important milestone in the growth of YES HIM Consulting. As of this week, YES HIM Consulting has officially merged with Sage Clinical RCM, a mid-revenue cycle company specializing in revenue cycle staffing, consulting, and proprietary technology development.
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