Healthcare News
CMS has expanded its Medicaid and Children’s Health Insurance Program (CHIP) coverage for postpartum care from 60 days to 12 months in California, Florida, Kentucky, and Oregon.
Bolstered with the right data, medical coder performance evaluations can be an empowering tool for your organization’s coding team. Performance reviews that have been fueled by research from coding compliance audits will only help coders improve and increase engagement with the organization.
Undercoding in healthcare is the action leaving out codes that reflect all the services and procedures performed. Not only does undercoding lead to lower revenue, but it also skews the healthcare provider’s claims data.
Several recent lawsuits have brought to light a list of risk adjustment schemes to increase reimbursements in violation of the False Claims Act. Here are some HCC coding 101 best practices to help your organization avoid scrutiny.
The Refresh With YES: CPT Modifiers Learning Path shows learners how to apply common CPT and HCPCS modifiers, providing examples of all and how the modifiers give additional information about specific situations.
The Refresh With YES: PCS Sinus Surgery Learning Path teaches learners how to apply ICD-10-PCS codes for sinus surgery procedures and common sinus conditions.
What is HCC coding used for? Why is HCC coding important? This brief article will touch on the questions above and explore how a recent YES HCC consulting case study highlights the importance of HCC coding in healthcare.
Three new COVID booster vaccine CPT codes have been released by the AMA: one vaccine product code and two administration codes. The booster candidates are from products developed by Pfizer and Sanofi-GlaxoSmithKline.
Reducing your risk of inaccurate HCC coding and compliance issues begins with an efficient HCC auditing partner. An external HCC auditing consultant, like YES HIM Consulting, can conduct regular coding audits to identify issues before they are flagged.
The Refresh With YES: CPT EP Ablation Procedures Learning Path shows learners how to apply CPT codes and guidelines for Electrophysiological (EP) Ablation procedures.