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

Coding Education

Respiratory Diagnoses

Refresh With YES: Respiratory Diagnoses Spotlight | 2 CEUs

By YES HIM Consulting / March 27, 2020 / 0 Comments

YES HIM Consulting partners with leading industry experts and nationwide-recognized educators to provide cutting-edge education to our coders, auditors, and clients. We provide the most up-to-date content with a practical approach compliant with latest HIM & coding guidelines. The ICD-10-CM Refresh With YES webinar series provides refresher courses for coders and auditors. These courses offer a practical review to complex ICD-10-CM topics, provided by our nationally recognized educators and our YES HIM Executive team. The Refresh With YES: Respiratory Diagnoses webinar consists of 15-21 modules that examine Respiratory diagnoses, such as COPD, Respiratory Failure, Pneumonia, and Asthma.

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Coding

An Introduction To Medical Coding & Basic Terminology

By YES HIM Consulting / March 23, 2020 / 0 Comments

Medical coding is the process of assigning numeric or alphanumeric codes to the diseases, injuries, treatments, and procedures that healthcare providers perform to record each encounter accurately and correctly bill the patient (Healthcare Business & Technology, 2019). Medical coding directly ties into medical billing, which includes “preparing billing claims and submitting them to insurance providers,” as noted in our previous article, “What Is Medical Coding and Billing? How Does It Streamline a Hospital’s Financial Performance?” Ensuring the encounter was coded correctly with the right terminology is essential for correct payment and an accurate patient medical history.

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COVID-19

Medical Coding & Billing Tips for COVID-19

By YES HIM Consulting / March 16, 2020 / 0 Comments

With the number of COVID-19 (2019-Novel Coronavirus) cases expected to rise in North America, the Centers for Medicare & Medicaid Services (CMS) has provided information on how to medically code and bill all encounters related to COVID-19 for Medicare beneficiaries (CMS, 2020).

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Coronavirus

Coding for Coronavirus Outbreak: Interim Guidance from the CDC

By Ann Zeisset / February 28, 2020 / 0 Comments

On January 30, 2020, the World Health Organization (WHO) declared the 2019 Novel Coronavirus (COVID-19) disease outbreak a public health emergency of international concern (CDC, 2020). This outbreak of the respiratory disease caused by the novel (new) coronavirus was first detected in Wuhan City, Hubei Province, China. It has rapidly spread, and, according to the CDC, has been detected in 37 locations internationally, including cases in the United States. As a result of the public health emergency, the document, “Announcement New ICD-10-CM Code 2019 Novel Coronavirus (COVID-19),” was released to provide guidance on coding this virus.

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E/M

Increase Revenue & Lower Compliance Risk With These 6 E/M Tips

By YES HIM Consulting / February 20, 2020 / 0 Comments

Selecting the right E/M code can be tricky – and sometimes, costly – business. On the one hand, the coder does not want to choose a diagnosis that’s too high, which could potentially incur audits or claims denials. But, if the coder selects a code that’s too low, there’s a chance of losing revenue for his or her organization. According to Medical Economics, “payers and auditors use a quantitative scoring process that requires specific elements (i.e., history, exam, and medical decision-making [MDM] – or time spent counseling and coordinating care) for each E/M level” (2020).

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Vaping

New ICD-10-CM Code For Vaping-Related Disorders – Effective April 1

By Ann Zeisset / January 28, 2020 / 0 Comments

The WHO Family of International Classifications (WHOFIC) Network Classification and Statistics Advisory Committee (CSAC) convened to establish a new emergency code to be used by WHO. This new emergency code, U07.0 – Vaping-related disorder, was implemented and valid for immediate use as of September 24, 2019, for ICD-10. In the United States, a Supplement to the ICD-10-CM Guidelines, entitled “Coding Encounters Related to E-cigarette, or Vaping, Product Use,” was posted on October 17, 2019. The guideline update provided valuable information on the proper assigning of codes, but did not provide a unique code for vaping in ICD-10-CM.

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ProFee Coding

Weighing the Differences and Similarities of ProFee and Facility Coding

By Vanessa Youmans / January 21, 2020 / 0 Comments

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?

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CPT Updates

CPT Changes for 2020 – Part Two

By Teri Jorwic / January 10, 2020 / 0 Comments

CPT 2020 changes took effect on January 1, 2020. In Part 2, we continue with a discussion of revisions in the Evaluation and Management, and Medicine sections, along with an overview of updates in the Radiology, Pathology and Laboratory, and the new Category III codes.

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ICD-11

ICD-11 Overview

By Karen Youmans / January 6, 2020 / 0 Comments

The World Health Organization (WHO) recently released the 11th edition of the International Classification of Diseases (ICD-11). This release was presented at the World Health Assembly on May 25, 2019 for adoption by member states, and will come into effect on January 1, 2022. However, note that it is still unknown when ICD-11 will be ready for implementation in the United States.

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CPT Changes

New Year, New Codes: CPT Changes for 2020

By Teri Jorwic / December 30, 2019 / 0 Comments

As we turn the calendar to a new decade, the 2020 CPT code changes take effect. This year there are a total of 394 changes to CPT, bringing the total number of codes to 10,471. This includes 248 new codes, 71 deletions, and 75 code revisions, according to the American Medical Association (AMA). This is Part 1 of a 2-Part Series. In this article, we will discuss the changes in the Surgery Section.

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