YES HIM Consulting, Inc. Your Consulting Firm for Auditing, Coding and Education

Coding Audits

Medicare Advantage

Medicare Advantage Insurers Use Reviews to Get Higher Payments

By YES HIM Consulting / December 20, 2019 / 0 Comments

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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Optimal Quality Coding

Optimal Quality Coding Prevents Medical Claims Denials

By YES HIM Consulting / December 16, 2019 / 0 Comments

Medical billing denials generate significant cost for providers and hospitals that could be avoided by improving claims data management and optimizing medical coding processes. Optimal quality coding effectively prevents medical claims denials by reducing the potential for manual error and addressing concerns over fast approaching time limits.

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coding outsourcing myths

Top 5 Common Myths of Coding Outsourcing

By YES HIM Consulting / December 9, 2019 / 0 Comments

Assigning coding and auditing needs to outside companies allows providers to focus on the tasks that they enjoy doing, and leaves the other functions for experts who can get them done quickly and accurately, especially if the organization’s in-house staff is not trained in coding. These are 5 common myths of outsourcing, and how YES HIM Consulting debunks these concerns with a skilled team of consultants, coders, and auditors.

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Coding Compliance Statistics

Coding Compliance Audit Statistics: What to Do With Them?

By JJ Crumbley / October 16, 2019 / 0 Comments

Year by year, organizations rely more and more on their data analytics. In this article you will be provided with: An overview of key statistics to include in your coding compliance audits, a Questionnaire to determine if you need a coding compliance audit program…

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Journal AHIMA YES Profee

Journal of AHIMA Coding Notes: Coding Quality for Hospital-Acquired Physician Groups

By Mari Cely / October 11, 2019 / 0 Comments

Karen Youmans, MPA, RHIA, CCS, President and CEO of YES HIM Consulting, and Vanessa Youmans, MA, RHIA, CCS, CPC, Director, Outpatient and ProFee Services co-authored their latest ProFee Case Study in the Journal of AHIMA – October Edition.

AS HEALTHCARE ORGANIZATIONS strive for continuous efficiency and sustainability, mergers and acquisitions (M&A)among diverse medical facilities provides organizations new opportunities to reduce costs and generate a larger footprint in both current and new markets…

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Coding Audits

Selecting the right coding audit company for your organization

By YES HIM Consulting / June 19, 2019 / 0 Comments

With more and more companies looking beyond their own departments to outsource this task, it’s important to consider the key factors of choosing a coding audit vendor that is just the right fit.

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coding audits

Coding Audits: How they directly affect the success of your organization

By YES HIM Consulting / May 20, 2019 / 0 Comments

When considering the constantly evolving and ever-changing coding landscape of today, efficient coding audit practices have become a crucial and necessary step in what healthcare organizations must do to remain compliant and profitable. If your organization is struggling to properly and accurately evaluate its coding procedures, now is the time to take the essential step of seeking an independent entity to conduct regular coding audits.

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YES HIM Consulting, Inc. Largo, Fl.
Office: (727) 531-3839       Fax: (727) 240-4592