Posts Tagged ‘medical coding’
Postpartum Insurance Coverage Period Extended to 12 Months in 4 States – Here’s How to Code the Expansion
CMS has expanded its Medicaid and Children’s Health Insurance Program (CHIP) coverage for postpartum care from 60 days to 12 months in California, Florida, Kentucky, and Oregon.
Read MoreTop 5 Do’s and Don’ts of Medical Coder Performance Evaluations: How to Empower with Coding Compliance Audits
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.
Read MoreUndercoding in Healthcare: How to Identify & Prevent Missed Revenue with These Insights
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.
Read MoreHCC Coding 101: How to Avoid Scrutiny As Risk Adjustment Schemes Come to Light
Several recent lawsuits have brought to light a list of risk adjustment schemes to increase reimbursements in violation of the False Claims Act. Here are some HCC coding 101 best practices to help your organization avoid scrutiny.
Read MoreMaster CPT Code Modifiers 50, 59, 25 & More in Newest RWY Learning Path
The Refresh With YES: CPT Modifiers Learning Path shows learners how to apply common CPT and HCPCS modifiers, providing examples of all and how the modifiers give additional information about specific situations.
Read MorePCS Codes for Sinus Procedures Examined in Latest RWY Learning Series
The Refresh With YES: PCS Sinus Surgery Learning Path teaches learners how to apply ICD-10-PCS codes for sinus surgery procedures and common sinus conditions.
Read MoreHow an HCC Coding Audits Partner Can Help Your Facility
Reducing your risk of inaccurate HCC coding and compliance issues begins with an efficient HCC auditing partner. An external HCC auditing consultant, like YES HIM Consulting, can conduct regular coding audits to identify issues before they are flagged.
Read MoreEP Ablation Learning Series Reviews CPT Codes for Procedures & Arrhythmias
The Refresh With YES: CPT EP Ablation Procedures Learning Path shows learners how to apply CPT codes and guidelines for Electrophysiological (EP) Ablation procedures.
Read MoreHCC Consulting Case Study: Bridging the Gap Between Medical Software Companies & Coding
HCC coding, consulting, and auditing is one of YES HIM Consulting’s many niche specialties. During a recent HCC consulting project, YES consultants assisted a medical product software company with research, analysis, and recommendations to bridge the gap between technology and medical coding.
Read MoreLearn How to Code Mental & Behavioral Disorders: Depression, NSSI, & Substance Use
The Refresh With YES: CM Mental and Behavioral Disorders Learning Path teaches learners how to apply ICD-10-CM codes for mental and behavioral disorders, such as non-suicidal self-injury (NSSI), depression, and substance use.
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