Medical Coding Audits
Health systems would not blindly purchase a medical practice without first doing their due diligence to review the practice’s finances, physicians, coding and billing, compliance, properties, and potential liabilities or other issues. And that’s where due diligence audits come in.
Firms must be deliberate and careful, especially when consider a merger or acquisition. Medical Due Diligence audits can help.
A final rule for the Medicare Physician Fee Schedule (MPFS) was released by CMS on November 2, 2021, and takes effect on January 1, 2022.
The Centers for Medicare & Medicaid Services (CMS) announced the OPPS/ASC final rule in a press release on November 2, 2021.
The work of public health authorities across the nation to get the population vaccinated continues. In addition, the the push for further vaccination shows how important understanding the various vaccine codes is.
What measures can you implement to increase coding accuracy? Measuring a team’s performance presents a great opportunity for coders to learn and grow in their expertise.
To minimize the threat COVID-19, many healthcare organizations transitioned their medical coders and billers to work remotely from home. While exposure to the virus is minimized greatly, employees face a different type of issue – HIPAA violation risks.
The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is a quarterly electronic data report that contains a hospital’s claims data statistics for Medicare Severity Diagnosis-Related Groups (MS-DRGs). CMS has approved the addition of a new target area to the quarterly PEPPER report related to inpatient total knee arthroplasty (TKA).
CMS has added 11 new services to the Medicare telehealth services list. These new services focus on specific neurostimulator analysis and programming, and cardiac and pulmonary rehabilitation (CMS, 2020). There have been over 135 services added to the list of payable Medicare telehealth services since CMS started expanding Medicare coverage, including ED visits and inpatient encounters. Review our Telehealth Resource Center for the full list of revised coding and billing guidelines for COVID-19. If your facility is struggling with deciphering the revised telehealth guidelines, contact YES HIM Consulting for coding support from our HIM-credentialed experts.
Outsourcing no longer means time-zone hopping overseas to find reliable, skilled, and affordable medical coding and auditing companies dedicated to achieving high coding productivity and quality standards. It is increasingly common for healthcare organizations to outsource coding overflow and quarterly audits by sourcing talent from a U.S.-based company. YES HIM Consulting is proud to be a premier coding, auditing, and education preferred partner to large-scale healthcare systems, individual hospitals, physician groups, and more around the U.S.