Services

Auditing
Coder Mentoring
Education
CDI Mismatch Reviews
Consulting Services
Auditing
Inpatient Coding Compliance Audits

Quarterly, semi-annual, and annual coding accuracy reviews for MS-DRGs, discharge disposition, PDx, procedures, and POA

Outpatient Coding Compliance Audits

Quarterly, semi-annual, and annual coding accuracy reviews for APCs, first listed Dx, CPT code assignment, modifier assignment as well as revenue codes (if requested)

ProFee Coding Compliance Audits

Quarterly, semi-annual, and annual coding accuracy reviews for first listed Dx, CPT code assignment, modifier assignment, and RVUs

PSI/HAC Reviews

In-depth reviews for PSI/HAC correct code assignment, official guidelines, and exclusions

Coder Mentoring
Online Assessments

Detailed online assessments in inpatient ICD-10-CM/PCS and outpatient ICD-10-CM to provide a baseline for coder knowledge

New Hire Mentoring

Concurrent feedback to new hires on any questions from their coded encounters (within 24-48 hours) with individual forms and weekly conference calls

New Inpatient Coder, Secondary Quality Reviews

Concurrent feedback to new hires or current coders transitioning from outpatient to inpatient on coded inpatient encounters (within 24 hours) with individual forms and weekly conference calls. Statistics based on the following accuracy rates:  MS-DRG, discharge disposition, and POA

New Outpatient Coder, Secondary Quality Reviews

Concurrent feedback to new hires or current coders transitioning to a new role on coded outpatient encounters (within 24 hours) with individual forms and weekly conference calls. Statistics based on the following accuracy rates:  APC, CPT, Modifier, First listed dx, and Revenue Code (if requested)

New ProFee Coder, Secondary Quality Reviews

Concurrent feedback to new hires on coded outpatient encounters (within 24 hours) with individual forms and weekly conference calls. Statistics based on the following accuracy rates:  First listed dx, CPT code assignment, Modifier assignment, and RVUs

Education
ICD-10 Inpatient Coding Academy

In-depth 10 week refresher course for current inpatient coders or new graduates (CEUs included)

CPT Academy

In-depth 8-9 week refresher course for current outpatient SDS coders or new graduates (CEUs included)

Hospital Inpatient and Outpatient coders

Quarterly educational webinars with assessments on current coding topics (CEUs included)

Education—ProFee Coders

Customized ICD-10 and CPT Academy for outpatient/profee coders, as well as quarterly educational webinars on profee current coding topics (CEUs included)

CDI Mismatch Reviews
Compare and Analyze CDI MS-DRG with Coder MS-DRG

Review and respond to CDI and Coder MS-DRG mismatches within 24-48 hours

Liaison between CDI and Coding

Assist in CDI and Coder MS-DRG differences with official coding guidance and education

Detailed Statistics and Trends

Provide trends in PDx, CC/MCCs, coding guidelines, ICD-10-PCS differences, etc.

Educational Sessions

Present quarterly educational sessions on CDI and Coding current topics

Consulting Services
Payor Denial Letter Appeals

Assist your facility with compliant and timely replies in response to payor denial letters and guide you through the appeals process from beginning to end. We are equipped with coding expert’s possessing years of experience ready to assist you.

Data Analytics Services

Leverage our data analytics services to better inform your organizational leaders directly resulting in more up-to-date, efficient decision making. Data is extracted and categorized to identify and analyze patterns geared specifically towards your organizational requirements.

Project Management Services

YES project management consultants utilize process, discipline, and leadership to engage stakeholders, break down functional silos and ensure your initiatives are completed within budget, scope, and schedule. Our experienced credentialed project managers will assist you from design through implementation with large or small projects.

Custom Project Requests

YES has in-depth, unique experience in assisting with organizational meetings, providing subject matter experts for committees, reviewing/updating policies and procedures, evaluating/revising job descriptions, analyzing and preparing graphical data for leadership as well as many other custom project needs. Let us know your specific needs…we will find a customized solution for you!