Healthcare News

Identifying Transformative Healthcare Trends

By YES HIM Consulting / December 14, 2018 / Comments Off on Identifying Transformative Healthcare Trends

Continuing advancements in technology, regulation changes, and increasing healthcare costs are just a few of the changes that are inevitable in the foreseeable future. So, how do we strategically prepare for changes in the healthcare industry that we cannot even predict yet? Read on to find out.

Compliance Audits Shed Light on Performance Improvement in Medical Coding

By YES HIM Consulting / December 14, 2018 / Comments Off on Compliance Audits Shed Light on Performance Improvement in Medical Coding

Is my team’s coding accuracy up to industry standards? This is a question many HIM and Coding decision makers find themselves asking. Coding compliance audits can provide an organization the ability to follow regulatory guidelines in regards to their coding practices. Get an overview of the impact compliance audits have on both the hospital level and the physician-practice level. Read more.

Top 5 Tips to Resolve ProFee Physician Discrepancies

By Vanessa Youmans / October 12, 2018 / Comments Off on Top 5 Tips to Resolve ProFee Physician Discrepancies

With the ongoing trend of physician group acquisition, facility-side managers are increasingly assigned the role of also managing the coding policies of newly-acquired physician groups with very little experience in the ProFee arena. So, what makes ProFee coding and billing so different from the facility culture? Find out more here.

Revenue Loss Declining Faster than Not-for-Profit Hospitals’ Cost Reductions

By Elizabeth Kelly / October 12, 2018 / Comments Off on Revenue Loss Declining Faster than Not-for-Profit Hospitals’ Cost Reductions

Analysts share alarming facts about revenue loss and trends in the past couple of years; the growth in expense reduction is slower than revenue decline. This is affecting Not-for-profit hospitals tremendously.

Case Study: To Query or Not to Query … The Power of a Data-Driven Query Program

By YES HIM Consulting / October 12, 2018 / Comments Off on Case Study: To Query or Not to Query … The Power of a Data-Driven Query Program

Across healthcare, the majority of hospitals or healthcare systems have incorporated query programs; however in many cases they are driven solely from a compliance perspective. We’ve prepared a case study using data gathered over the past couple of years, in order to reach an undeniable conclusion: it’s not about the why, it’s about the how.

Need Medicare Learning Resources? The CMS Wheel Can Help

By YES HIM Consulting / October 8, 2018 / Comments Off on Need Medicare Learning Resources? The CMS Wheel Can Help

Navigating the Center for Medicare & Medicaid Services (CMS) rules can be tricky. It can be handy to have a fact sheet that goes over a variety of CMS topics. We recommend you use this interactive Medicare learning resource!

Are Health Care Providers Prepared to Treat the Latino Population Adequately?

By Mari Cely / September 10, 2018 / Comments Off on Are Health Care Providers Prepared to Treat the Latino Population Adequately?

Is “lost in translation”​ the only risk providers face when trying to adequately serve the Latino population with healthcare needs and challenges? Two big “No-no’s”​ in this scenario.

Electronic Health Records (EHR) Still Need HUMAN-LEVEL Interaction to be Efficient

By Karen Youmans / July 24, 2018 / Comments Off on Electronic Health Records (EHR) Still Need HUMAN-LEVEL Interaction to be Efficient

Though many patients and healthcare providers complain about the use of EHRs, there is a set of guidelines that can make the EHR an effective tool to improve communication and trust between patients and providers.

Urgent Care Boom Equates to Increase in Hospital’s Revenue per Admission

By YES HIM Consulting / July 24, 2018 / Comments Off on Urgent Care Boom Equates to Increase in Hospital’s Revenue per Admission

Over the course of the last decade, U.S. hospitals are continuing to expand their urgent care clinic networks. According to a NPR/Kaiser Health News report from December 2017, the primary goals for adopting a more decentralized approach through urgent care facilities include: Expanding the footprint/brand of the health system (at a discounted rate); Generating new referrals; Keeping patients out of the ED (40% of ED visits nationwide DO NOT require Emergency Services); and boosting patient satisfaction.

ICD-10-PCS Codes Updates – FY2019

By Ann Zeisset / July 24, 2018 / Comments Off on ICD-10-PCS Codes Updates – FY2019

The Centers for Medicare and Medicaid Services (CMS) released the 2019 ICD-10-PCS code changes for fiscal year(FY) 2019.  After the codes are approved in the FY 2019 IPPS Final Rule, they will be implemented by all hospital inpatient coding professionals with discharges occurring on October 1, 2018.