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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.

Postpartum Insurance Coverage Period Extended to 12 Months in 4 States – Here’s How to Code the Expansion

By Karen Youmans

CMS has expanded its Medicaid and Children’s Health Insurance Program (CHIP) coverage for postpartum care from 60 days to 12 months in California, Florida, Kentucky, and Oregon.

Top 5 Do’s and Don’ts of Medical Coder Performance Evaluations: How to Empower with Coding Compliance Audits

By Mari Cely

Bolstered with the right data, medical coder performance evaluations can be an empowering tool for your organization’s coding team. Performance reviews that have been fueled by research from coding compliance audits will only help coders improve and increase engagement with the organization.

Undercoding in Healthcare: How to Identify & Prevent Missed Revenue with These Insights

By Elizabeth Kelly

Undercoding in healthcare is the action leaving out codes that reflect all the services and procedures performed. Not only does undercoding lead to lower revenue, but it also skews the healthcare provider’s claims data.

HCC Coding 101: How to Avoid Scrutiny As Risk Adjustment Schemes Come to Light

By Karen Youmans

Several recent lawsuits have brought to light a list of risk adjustment schemes to increase reimbursements in violation of the False Claims Act. Here are some HCC coding 101 best practices to help your organization avoid scrutiny.

Master CPT Code Modifiers 50, 59, 25 & More in Newest RWY Learning Path

By YES HIM Consulting

The Refresh With YES: CPT Modifiers Learning Path shows learners how to apply common CPT and HCPCS modifiers, providing examples of all and how the modifiers give additional information about specific situations.

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