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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.

Differentiating Between IPPE (G0402), AWV (G0438/G0439), and Annual Physical (99381-99397)

By Vanessa Youmans

Medicare offers various preventive services to help beneficiaries maintain their health. Understand the differences between the Initial Preventive Physical Examination (IPPE), Annual Wellness Visit (AWV), and the routine annual physical exam.

‘Crafting Effective Compliance Plans’ Series: Setting Pass Rate Thresholds & Creating Action Plan Items Based on Audit Findings

By Vanessa Youmans

Develop a tailored action plan for your physician group following audit results. By understanding the different pass rate thresholds and implementing strategic responses, physician groups can enhance their compliance programs and support their providers.

CMS Releases the FY 2025 Hospital Inpatient Prospective Payment System (IPPS) Final Rule

By Ann Zeisset

On August 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2025 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) final rule. Review the updates here.

Comprehensive Guide for Inpatient Coders: Coding Abnormal Findings in the Hospital Setting

By Vanessa Youmans

The Official Coding Guidelines provide detailed instructions for coders on how to capture diagnoses and significant findings accurately. Section III and its Subsection B (III.B) stand out as critical tools for ensuring that coders capture all relevant diagnoses and abnormal findings during a patient’s hospital stay.

Implement These Best Practices for Outpatient Coding Documentation

By Kristie Thomas

Clear, thorough, and descriptive outpatient medical coding documentation is the cornerstone of proper reimbursement and patient care. Here are the essential documentation guidelines for outpatient medical coding, drawing on our own best practices and industry expertise.

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