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

Healthcare Industry

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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HCC risk adjustment

HCC Medicare Advantage background and overview

By Karen Youmans / October 16, 2019 / 0 Comments

As a follow-up to our previous article “The HCC Coding Specialist: Benefiting payers, providers, and patients” we now delve in deeper to the background and overview of HCC risk adjustment for the Medicare Advantage Program.

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Patient Safety Indicators PSI

How to Assess Quality of Care at Hospitals: Patient Safety Indicators

By John Franz / October 15, 2019 / 0 Comments

The Agency for Healthcare Research and Quality (AHRQ) developed Patient Safety Indicators (PSI) to judge the quality of care at Hospitals.  The data can be used:

  • By patients to choose where they go for care
  • Third party payers to select facilities to contract for services
  • Assist QA departments identify potential problem areas
  • Help leadership assess. monitor, track, and improve patient safety
  • Determine financial gain or loss (CMS PSI 90, contract bonuses for quality)
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2020 ICD-10-PCS Guideline Changes: Make Room for Exceptions

By Teri Jorwic / October 15, 2019 / 0 Comments

Make Room for Exceptions: This years’ updates to the ICD-10-PCS Official Guidelines for Coding and Reporting include a new section, updates to an existing section, new guidance on a body part, some editorial changes and the introduction to the possibility of exceptions for special cases.

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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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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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YES Director Receives Top Honor at FHIMA 2019

By YES HIM Consulting / August 23, 2019 / 0 Comments

YES HIM Consulting’s very own Vanessa Youmans, Director of OP/Profee Coding & Auditing, receives a prestigious award at FHIMA 2019! Read on to learn more.

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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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medical coding consulting services

Top 5 Reasons for Medical Billing Denials and How to Prevent Them

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

Manual errors, input omissions, and timing concerns could be instigating more denials than you realize. Keep an eye on these collective reasons for insurance denials to see if you can constrict your billing approach and reduce your rate of denials.

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Best Practices for Providing Your Team with Valuable Coding Education

By YES HIM Consulting / July 24, 2019 / 0 Comments

Ongoing coding education has proven to be a necessity in terms of keeping up with the industry’s constantly-evolving learning curve, but how do you ensure your organization is receiving the proper coding education that it needs?

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