YESBLOG: HIM & CODING NEWS
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.
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.
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!
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.
Over the course of the last decade, U.S. hospitals are continuing to expand their urgent care clinic networks. According to a NPR/Kaiser Health News report from December 2017, the primary goals for adopting a more decentralized approach through urgent care facilities include: Expanding the footprint/brand of the health system (at a discounted rate); Generating new referrals; Keeping patients out of the ED (40% of ED visits nationwide DO NOT require Emergency Services); and boosting patient satisfaction.
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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