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query program

Case Study: To Query or Not to Query … The Power of a Data-Driven Query Program

By YES HIM Consulting

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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profee discrepancies

Top 5 Tips to Resolve ProFee Physician Discrepancies

By Vanessa Youmans

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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revenue loss

Revenue Loss Declining Faster than Not-for-Profit Hospitals’ Cost Reductions

By Elizabeth Kelly

Analysts share alarming facts about revenue loss and 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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CMS Wheel

Need Medicare Learning Resources? The CMS Wheel Can Help

By YES HIM Consulting

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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health care provider

Are Health Care Providers Prepared to Treat the Latino Population Adequately?

By Mari Cely

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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