Posts Tagged ‘coding and billing’
Coding Audits: How Identifying Issues Sooner Rather than Later Saves Money for the Hospital/Facility
The establishment of a coding compliance program remains a significant effort by the Office of the Inspector General (OIG) in its attempt to engage the healthcare community in combating fraud and abuse. The OIG developed a Compliance Resource Portal with materials and guidelines for healthcare professionals. A fundamental element to an effective compliance program is conducting internal monitoring and auditing. Coding audits have the added value of ensuring you are running an efficient and profitable, not to mention minimized liability, operation. Earlier detection of any potential coding issues will pay off financially and will reduce risks for additional external audits.
Read MoreCase Study: Coding Quality Improvement Plan for Healthcare Facility Acquisition Process of a Large Physician Group
Healthcare facilities and independent practices face unique challenges when merging or being acquired. This case study provides a thorough analysis on the unique challenges a medical facility faces when merging with independent practices, as well as solutions for a successful facility acquisition process.
Read MoreRefresh With YES: PCS Gastrointestinal Procedures | 1 CEU
YES HIM Consulting provides most up-to-date content with a practical approach compliant with latest HIM & coding guidelines. The ICD-10-PCS Refresh With YES webinar series provides refresher courses for coders and auditors. These courses offer a practical review to complex ICD-10-PCS topics, provided by our nationally recognized educators and our YES HIM Executive team. The Refresh With YES: PCS Gastrointestinal Procedures webinar consists of 14-19-minute modules that examine Gastrointestinal procedures, such as Lysis of Adhesions, GI Anatomy and Guidelines, Bowel Procedures, and Gastric Procedures.
Read MoreStrategies To Proactively Drive Revenue Cycle Efficiency And Reduce Cost
Managing revenue cycles in healthcare businesses can be costly. However, if insufficient measures are taken to oversee good billing processes, collectible revenue is often left on the table. Constant annual changes in billing and coding rules make the processes especially frustrating, but smart strategic planning using relevant internal and external resources can help…
Read MoreIs Your Medical Data At Risk? – Part Two
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 MoreOptimal Quality Coding Prevents Medical Claims Denials
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 MoreTop 5 Common Myths of Coding Outsourcing
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 MoreIs Your Medical Data At Risk? – Part One
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 MoreUnderstanding ICD-10 Codes and Why They’re Important
Every disease, injury, and symptom has its own ICD-10 code. But what exactly is their purpose and what makes them so important?
Read MoreIs the ICD-10 PCS Coding and Implementation System Worth the Trouble?
The 10th release of the International Classification of Diseases (ICD-10) is the most recent cutting-edge edition to the system of codes that categorizes every disease or health problem around the globe. The earlier edition was published about four decades ago, and henceforth the release of ICD-10 coding was predicted as a sweeping change in the world of medical coding.
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