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Posts Tagged ‘medical coding audits’

Exploring the Differences and Benefits of Concurrent Audits, Prospective Audits, and Retrospective Audits

By Elizabeth Kelly | April 7, 2025
retrospective chart review

Many healthcare facilities turn to audits to identify coding issues and ensure accurate reimbursements. But when it comes to auditing practices, which approach is best: concurrent, prospective, or retrospective audits?

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The Synergy of Medical Auditing: A Win-Win for Patients and Providers

By YES HIM Consulting | September 13, 2023
medical auditing

While most providers are hesitant to complete regular medical coding audits, it’s important to remember that they ensure accuracy and efficiency are maintained throughout the patient-provider relationship.

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How to Empower a Medical Coding Team During an Audit

By Elizabeth Kelly | August 17, 2023
empower team for coding audit

There are myriad benefits to performing regular medical coding compliance audits. In order to have a successful audit process, coders must feel like their voices are heard. We’ve compiled these strategies to help empower the coding team during the next audit.

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Healthcare Coding Audits Checklist: Prepare for a Successful Audit

By Elizabeth Kelly | March 20, 2023
healthcare coding audits

Regular healthcare coding audits are necessary to run a compliant, successful healthcare organization. While the reason for the audit may differ, the overall checklist for conducting a successful audit remains relatively the same.

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How Trending Reports Benefit Inpatient Medical Coding Compliance Audits

By Mari Cely | March 7, 2023
trending reports

Anticipating coding quality strengths and weaknesses is a great benefit trending reports offer when it comes to coding compliance audits. A coding team can remain accurate and competitive by taking advantage of the benefits trending analysis has to offer.

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Top 5 Do’s and Don’ts of Medical Coder Performance Evaluations: How to Empower with Coding Compliance Audits

By Mari Cely | June 20, 2022
medical coder performance evaluation

Bolstered with the right data, medical coder performance evaluations can be an empowering tool for your organization’s coding team. Performance reviews that have been fueled by research from coding compliance audits will only help coders improve and increase engagement with the organization.

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Undercoding in Healthcare: How to Identify & Prevent Missed Revenue with These Insights

By Elizabeth Kelly | June 20, 2022
Undercoding in Healthcare

Undercoding in healthcare is the action leaving out codes that reflect all the services and procedures performed. Not only does undercoding lead to lower revenue, but it also skews the healthcare provider’s claims data.

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In medical mergers, due diligence is essential

By YES HIM Consulting | January 10, 2022
due diligence audit

Firms must be deliberate and careful, especially when consider a merger or acquisition. Medical Due Diligence audits can help.

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When Practices Merge, ProFee Coding Guidelines are Key

By YES HIM Consulting | December 16, 2021
profee coding guidelines

With many healthcare firms pushing toward consolidation, integrated ProFee coding guidelines are key to team success.

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Making the Data Work for You: How to Turn Medical Coding Audits into Actionable Insights

By YES HIM Consulting | October 12, 2020
medical coding audits

Coding audit data can be extremely beneficial to the success of a healthcare organization – however, oftentimes, the vast amounts of data being collected can suffocate the organization, especially those that don’t know how to cultivate value and act on the insights received from the audit process.

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