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