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

Electronic Health Records

MEAT Criteria

HCC Chronic Conditions and M.E.A.T. Criteria

By Karen Youmans / January 13, 2020 / 0 Comments

As a follow-up to our previous articles “The HCC Coding Specialist: Benefiting payers, providers, and patients” and “HCC Medicare Advantage background and overview,” we now review HCC chronic conditions and the M.E.A.T. documentation criteria.

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Medical Data

Is Your Medical Data At Risk? – Part Two

By YES HIM Consulting / January 8, 2020 / 0 Comments

As a follow-up to our previous article, “Is Your Medical Data At Risk? – Part One,” we now examine how personal health information could be used in the hands of technology companies outside of the medical industry. Representatives from Google and Ascension have said the medical data will be used solely to develop software that will make suggestions for patient care.

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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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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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Understanding ICD-10 Codes and Why They’re Important

By YES HIM Consulting / September 10, 2019 / 0 Comments

Every disease, injury, and symptom has its own ICD-10 code. But what exactly is their purpose and what makes them so important?

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Medical Billing

What Is Medical Coding and Billing? How does it Streamline a Hospital’s Financial Performance?

By YES HIM Consulting / August 14, 2019 / 0 Comments

At first glance, physicians and nurses would seem to be the ones running the show at medical facilities nationwide. That is a reasonable observation, as they are the people who treat patients. However, there are numerous other individuals working at hospitals, medical facilities and other healthcare settings doing work that makes visits with doctors possible.

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ICD 10 training

Is the ICD-10 PCS Coding and Implementation System Worth the Trouble?

By YES HIM Consulting / August 14, 2019 / 0 Comments

The 10th release of the International Classification of Diseases (ICD-10) is the most recent cutting-edge edition to the system of codes that categorizes every disease or health problem around the globe. The earlier edition was published about four decades ago, and henceforth the release of ICD-10 coding was predicted as a sweeping change in the world of medical coding.

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icd 10

Coding Tip Instructional Notes and Common Coding Mistakes in ICD-10-CM

By YES HIM Consulting / August 14, 2019 / 0 Comments

The implementation of ICD-10-coding brought about significant changes to the world of coding. With the additions for FY 2017 presently pushing the number of codes to over 70,000, it is crucial to follow the symbols, conventions, and guidelines mentioned throughout the book.

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The HCC Coding Specialist: Benefiting payers, providers, and patients

By Mari Cely / July 19, 2019 / 0 Comments

Why is HCC coding important for patient and providers & how the HCC coding specialist can contribute to benefiting patient quality scores, higher shared saving, and an improved patient experience.

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