Posts Tagged ‘medical coding’
End of the COVID-19 PHE Prompts Coding Guideline Change for October 1, 2023
The White House announced that the declaration of national emergency, as well as the COVID-19 public health emergency (PHE) declaration, would both end on May 11, 2023, prompting a guideline change for Z11.52, screening for COVID-19.
Read MoreCase Study: From Misreporting to Compliance: How Hospitals Can Implement a Standardized Process for Severe Malnutrition ICD 10 Diagnosis Codes
Given that severe malnutrition MCCs increase the dollar amount in Medicare reimbursements, overcoding is a potential risk for all healthcare organizations. Review our recent case study findings where we present compliance, standardization, and improvement opportunities to one client hospital.
Read MoreOptimizing Your Outpatient Coding Team: Tips for Exceeding Medical Coding Quality and Productivity Standards
In the medical coding field, it’s critical to maintain quality and productivity standards. Facilities open themselves up to compliance risks and lost revenue without these standards. Here are a few best practices to increase your Outpatient coding team’s quality and productivity.
Read MoreHealthcare Coding Audits Checklist: Prepare for a Successful Audit
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.
Read MoreWhat Factors & Scenarios Trigger a HIPAA Audit?
The OCR performs a HIPAA compliance audit to confirm that covered entities and business associates protect and properly utilize PHI. Here are the factors and scenarios that trigger an audit.
Read MoreOvercoming Medical Necessity Denials with Clinical Documentation Improvement: A Comprehensive Approach
Medical necessity denials can’t be ignored, as they can lead to significant revenue loss and compliance issues. These best practices for clinical documentation improvement, education, and standardization will help providers overcome their medical necessity denials.
Read MoreWhat HIPAA & Other Privacy Laws Miss: Data Sharing on Health Apps, Websites, & More
With the rise of health-related websites, communications, and applications, now’s the time to review how sensitive patient data is shared and protected with these evolving technologies.
Read MoreYES Medical Coding Academies & Training: Which Program is Right for Your Team?
YES HIM Consulting’s education team consists of medical coding consultants with decades of experience in the industry. Utilizing their expertise, we’ve created several training options that can be tailored to meet corporate coding teams’ needs.
Read MoreWhat the Proposed Healthcare Cybersecurity Regulations Mean for Your Organization
With healthcare groups dealing with such sensitive patient data, it’s crucial for this industry to enhance its cybersecurity regulations to fight ongoing cyber threats. And that’s where the Healthcare Cybersecurity Act of 2022 comes in.
Read MoreBrush Up on Latest E&M Medical Decision Making Guidelines
The Refresh With YES: CPT E&M Introduction and MDM Learning Path discusses Evaluation and Management (E&M) coding, including coding conventions, changes, and guidelines. Learners will dive into specific E&M topics, such as Medical Decision Making (MDM).
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