YESBLOG: HIM Industry insights

Benefits from Compliance Audits

Compliance Audits shed light on performance improvement in medical coding

By YES HIM Consulting | December 14, 2018 | 0 Comments

Is my team’s coding accuracy up to industry standards? This is a question many HIM and Coding decision makers find themselves asking. Coding compliance audits can provide an organization the ability to follow regulatory guidelines in regards to their coding practices. Get an overview of the impact compliance audits have on both the hospital level and the physician-practice level. Read more.

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Identifying Healthcare Trends

Identifying Transformative Healthcare Trends

By JJ Crumbley | December 14, 2018 | 0 Comments

Continuing advancements in technology, regulation changes, and increasing healthcare costs are just a few of the changes that are inevitable in the foreseeable future. So, how do we strategically prepare for changes in the healthcare industry that we cannot even predict yet? Read on to find out.

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Revenue impact

Revenue decline moving faster than Not-for-profit hospitals’ cost reductions

By Elizabeth Kelly | October 12, 2018 | 0 Comments

Analysts share alarming facts about revenue trends in the past couple of years; the growth in expense reduction is slower than revenue decline. This is affecting Not-for-profit hospitals tremendously.

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ProFee Top 5 tips

Top 5 tips for ProFee Physician Discrepancies

By Vanessa Youmans | October 12, 2018 | 0 Comments

With the ongoing trend of physician group acquisition, facility-side managers are increasingly assigned the role of also managing the coding policies of newly-acquired physician groups with very little experience in the ProFee arena. So, what makes ProFee coding and billing so different from the facility culture? Find out more here.

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Query programs backed by data

Case Study: To Query or Not to Query…

By JJ Crumbley | October 12, 2018 | 0 Comments

Across healthcare, the majority of hospitals or healthcare systems have incorporated query programs; however in many cases they are driven solely from a compliance perspective. We’ve prepared a case study using data gathered over the past couple of years, in order to reach an undeniable conclusion: it’s not about the why, it’s about the how.

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Use the CMS Wheel as a Medicare Learning Resource

By Mari Cely | October 8, 2018 | 0 Comments

Navigating the Center for Medicare & Medicaid Services (CMS) rules can be tricky. It can be handy to have a fact sheet that goes over a variety of CMS topics. We recommend you use this interactive Medicare learning resource!

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Are Healthcare providers prepared to treat the Latino population adequately?

Are healthcare providers prepared to treat the Latino population adequately?

By Mari Cely | September 10, 2018 | 0 Comments

Is “lost in translation”​ the only risk providers face when trying to adequately serve the Latino population with healthcare needs and challenges? Two big “No-no’s”​ in this scenario.

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ICD-10-PCS Codes Updates – FY2019

By Ann Zeisset | July 23, 2018 | 0 Comments

The Centers for Medicare and Medicaid Services (CMS) released the 2019 ICD-10-PCS code changes for fiscal year(FY) 2019.  After the codes are approved in the FY 2019 IPPS Final Rule, they will be implemented by all hospital inpatient coding professionals with discharges occurring on October 1, 2018.

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YES CDIS: Liaison between CDI and Coding

By Amy Davis | July 23, 2018 | 0 Comments

The role of the YES Clinical Documentation Improvement (CDI) Specialist is to be a liaison and a partner, to compare the facility CDIS Medicare severity diagnosis-related group (MS-DRG) to the facility coder MS-DRG when there is a mismatch between the two MS-DRGs.

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Urgent Care Boom Equates to Increase in Hospitals Revenue per Admission

By JJ Crumbley | July 23, 2018 | 0 Comments

Urgent Care Boom Equates to Increase in Hospitals Revenue per Admission Over the course of the last decade, U.S. hospitals are continuing to expand their […]

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