YESBLOG: HIM Industry insights

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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EHR still needs HUMAN LEVEL interaction to be efficient

By Karen Youmans | July 23, 2018 | 0 Comments

Though many patients and healthcare providers complain about the use of EHRs, there is a set of guidelines that can make the EHR an effective tool to improve communication and trust between patients and providers.

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VA and Cerner agree on EHR – What’s next?

By Mari Cely | May 22, 2018 | 0 Comments

VA and Cerner agree on EHR – What’s next? It took several months of delays, but finally the Veterans Affairs Department and Cerner have agreed […]

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