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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.

2026 IPPS proposed rule

CMS Releases 2026 IPPS Proposed Rule for Review and Comments

By Teri Jorwic

CMS has released the 2026 Inpatient Prospective Payment System (IPPS) Proposed Rule for public inspection. The rule will be published in the Federal Register on April 30, 2025.

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modifier 51 vs modifier 59

When to Use CPT Modifiers 51 and 59: A Comprehensive Guide for Medical Coders

By Vanessa Youmans

In this comprehensive guide, we break down the key differences between CPT modifiers 51 and 59, provide real-world examples, and offer best practices to ensure your claims get processed correctly the first time.

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retrospective chart review

Exploring the Differences and Benefits of Concurrent Audits, Prospective Audits, and Retrospective Audits

By Elizabeth Kelly

Many healthcare facilities turn to audits to identify coding issues and ensure accurate reimbursements. But when it comes to auditing practices, which approach is best: concurrent, prospective, or retrospective audits?

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icd 10 code for autism

Autism Awareness Month: DSM-5 vs. ICD-10 Code for Autism

By Vanessa Youmans

During Autism Awareness Month, we address one of the most significant challenges medical coders face when coding autism spectrum disorders: the misalignment between DSM-5 and ICD-10-CM. Review our practical coding guidance for autism patients.

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CPT cardiac catheterization coding guidelines

Master the CPT Cardiac Catheterization Coding Guidelines: New Refresh with YES Course

By YES HIM Consulting

The Refresh with YES: CPT Cardiac Catheterization course is designed to give you a comprehensive understanding of the cardiac catheterization coding guidelines, procedures, and payer policies.

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