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

Healthcare Trends

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.

Read More
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.

Read More
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.

Read More
Fiscal Year

End of The Fiscal Year Push!

By John Franz / December 31, 2019 / 0 Comments

Every organization associated with Health Information Coding has felt the pressure to catch everything up at the end of the Fiscal Year. It helps to understand what is at stake and how you can help. Some Fiscal Years (FY) correspond to the calendar year, while others start/end at times established for taxing and accounting purposes. Annual Financial reports are generated during this time to show the success or failure of the organization to meet its goals and expectations.

Read More
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.

Read More
strategic planning

Crafting Your Organization’s Strategic Plan For A Successful Year

By YES HIM Consulting / December 18, 2019 / 0 Comments

The healthcare and health information management industry is no stranger to constant changes and evolutions. To successfully navigate the future – and be prepared for anything – healthcare organizations need to craft a strategic plan. A strategic plan is beneficial for everyone: It allows the company owner to identify which goals will help grow the organization, and it helps the employees foster that growth by accomplishing the necessary objectives and increasing productivity.

Read More
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.

Read More
coding outsourcing myths

Top 5 Common Myths of Coding Outsourcing

By YES HIM Consulting / December 9, 2019 / 0 Comments

Assigning coding and auditing needs to outside companies allows providers to focus on the tasks that they enjoy doing, and leaves the other functions for experts who can get them done quickly and accurately, especially if the organization’s in-house staff is not trained in coding. These are 5 common myths of outsourcing, and how YES HIM Consulting debunks these concerns with a skilled team of consultants, coders, and auditors.

Read More
Medical Data at Risk

Is Your Medical Data At Risk? – Part One

By YES HIM Consulting / December 2, 2019 / 0 Comments

Is your medical data at risk? Google just announced a partnership with Ascension, the country’s second-largest hospital system, that will allow the tech giant to store and analyze millions of medical records to improve healthcare services. HIPAA has been amended to include regulations for the safeguarding and sharing of information digitally as new systems have entered the scene…

Read More
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…

Read More

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