Eliminate Backlog while optimizing Reimbursements
Facing backlog, constant denials, and lack of standardization in your day-to-day coding operations? YES Coding Support teams provide fast, reliable, and scalable solutions to your organization with over 20 years of experience in Inpatient, Outpatient, and ProFee coding.
- Ambulatory / Ancillary / Observation
- Multiple Surgical Specialties
Coding Support Services
- Backlogs and Overflow coverage
- Onboarding newly employed coders
- Special projects and policy reviews
- System migrations & training
- Period-end Coding Support
- Coding reviews for acquisitions (M&A)
- Coding standardization and guidelines
What our Clients say about us:
“YES HIM Consulting, Inc. has been our selection of vendor for auditing, education, and coding needs for many years. The YES team is fantastic to work with, providing timely, accurate, and professional services at all times. The personal attention they provide to our specific needs and/or requests is invaluable. They are and will continue to be our “go to” vendor for many years to come!”
Director Coding/Clinical Documentation Melbourne, FL
Case Study: Impact of a Comprehensive Coding Quality Improvement plan for ProFee Coding Team
In cases where physician groups are incorporated unto large health care systems, the coding and billing of professional (“profee”) services is becoming centralized. In several cases there is a lack of physician-oriented coding experience in the facility settings. Coding errors can negatively impact the physician practice’s bottom line and can source potential compliance issues for the health care system. This case study provides an overview of the implementation and results of a coding improvement plan that resulted in a 17% increase in CPT coding accuracy and 18% increase in Dx coding accuracy. Learn more about the challenges and objectives, resources and solutions, and most importantly, the results.
HCC Medicare Advantage background and overview
There has been a steady increase in Medicare Advantage enrollment as a proportion of total Medicare enrollment. In 2003, only approximately 13% of the Medicare population was enrolled in a Medicare Advantage (MA) plan. In 2014, Medicare Advantage (MA) enrollees accounted for 30% of all Medicare beneficiaries. And in 2018, MA enrollees grew to 36% of all Medicare beneficiaries (source: cms.gov).
Weighing the Differences and Similarities of ProFee and Facility Coding
In cases where physician groups are incorporated unto large health care systems, the coding and billing of professional services is becoming centralized. Who will manage the physician group? Which department will the physician group report to or merge with on the facility side? Does the management on the facility side have the resources and professional fee (ProFee) knowledge base to be able to navigate this acquisition?