Clinical Documentation Improvement
Outsourcing no longer means time-zone hopping overseas to find reliable, skilled, and affordable medical coding and auditing companies dedicated to achieving high coding productivity and quality standards. It is increasingly common for healthcare organizations to outsource coding overflow and quarterly audits by sourcing talent from a U.S.-based company. YES HIM Consulting is proud to be a premier coding, auditing, and education preferred partner to large-scale healthcare systems, individual hospitals, physician groups, and more around the U.S.
Coding audit data can be extremely beneficial to the success of a healthcare organization – however, oftentimes, the vast amounts of data being collected can suffocate the organization, especially those that don’t know how to cultivate value and act on the insights received from the audit process.
ProFee, or professional fee, refers to coding the physician side of a patient encounter. To further understand the following Pro Fee coding examples and definition, think: “Profee is personal.”
The Refresh With YES: Obstetrical and Newborn Diagnoses Learning Path teaches learners how to correctly apply the ICD-10-CM guidelines for obstetrical coding and newborn diagnoses, divided into 11-14-minute webinars. This learning path dives into OB GYN diagnosis codes, and coding for newborns, including information about the perinatal period, birth admission coding, and much more.
Cross-training your organization’s most qualified outpatient coders in inpatient coding is a sure way to bolster your bottom line and receive the most return on your investment in coding education. But, how do you identify these coders who are ready to train as inpatient coders and grow their professional experience? The key is to rely on a highly skilled team with experience in inpatient coding education, as well as inpatient coding support and auditing services, like YES HIM Consulting. Let our team of experienced HIM and coding experts come in and assist you in implementing this profitable business strategy!
Online medical coding classes – while informative and flexible – can be dense and hard to understand given the complexity of the educational material. Facilities looking to add new coders or cross-train team members on a new set of coding knowledge require experts not only in education, but subject matter experts that will be able to answer practical questions that coders encounter in their day-to-day coding jobs. We give our learners the competitive advantage over other coder learners in the field by offering live sessions and question queues.
YES HIM Consulting designs learning paths and coding tracks for busy professionals who need to take courses on their own time. Our catalog offers customizable formats to fit physicians’, coders’, and auditors’ schedules and learning styles – including on-site, online, and hybrid or blended models. Ongoing coding education is one of the ways to keep your team and organization compliant. Click here to review the other benefits of keeping your team up-to-date with coding and guideline changes with customizable coding education formats.
Healthcare facilities and independent practices face unique challenges when merging or being acquired. This case study provides a thorough analysis on the unique challenges a medical facility faces when merging with independent practices, as well as solutions for a successful facility acquisition process.
Physician group acquisition by major health systems remains a common trend in the industry. One survey of over 8,700 physicians indicates that only 31% of physicians surveyed identify as an independent practice owner or partner as of 2018. This is down from 48.5% in 2012, a whopping 35% decrease in independently owned practices in only 6 years (Merritt Hawkins, 2018). In these acquisitions, the question remains: Who will manage the physician group?
An investigation by the Office of Inspector General (OIG) revealed Medicare Advantage insurers might be overstating patients’ diagnoses without the proper documentation to receive larger payments. Based on the 2016 Medicare Advantage encounter data analyzed by the OIG, insurers were able to get an extra $6.7 billion in payments in 2017.
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