Posts Tagged ‘Outpatient’
Why Do Healthcare Organizations Struggle to Find Certified Outpatient Coders?
As the healthcare field advances, the demand for accurate and effective medical coding also increases. This is especially true in the Outpatient setting, where healthcare providers struggle to find certified Outpatient coders.
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 MoreCMS OPPS 2023 Final Rule Available Now
CMS issued a press release announcing the Final Rule for CY 2023 Hospital Outpatient Prospective Payment System and Ambulatory Surgery Centers on November 1, 2022. The draft of the CMS OPPS 2023 rule is almost 1,800 pages in length.
Read MoreCY 2021 Hospital OPPS Final Rule Published in Federal Register
The Final Rule for the Hospital Outpatient Prospective Payment System (OPPS) for calendar year 2021 was published in the Federal Register on December 29, 2020 (Federal Register, 2020). A synopsis was featured in an earlier article, “2021 Outpatient Prospective Payment System Final Rule: See the Updates.”
Read MoreCMS PEPPER Report to Include Total Knee Arthroplasty (TKA)
The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is a quarterly electronic data report that contains a hospital’s claims data statistics for Medicare Severity Diagnosis-Related Groups (MS-DRGs). CMS has approved the addition of a new target area to the quarterly PEPPER report related to inpatient total knee arthroplasty (TKA).
Read MoreRelease of 2021 Outpatient Prospective Payment System (OPPS) Final Rule Begins Elimination of IPO List
The Final Rule for Hospital Outpatient Prospective Payment System (OPPS), which takes effect on January 1, 2021 was released on December 2 (CMS, 2020). The 2021 OPPS Final Rule includes updates to payment rates and changes to the APCs , including the addition of two new Comprehensive APCs (C-APCs).
Read MoreOutpatient to Inpatient Coder Training: Evaluate, Identify, & Train with Experts
Cross-training your organization’s most qualified outpatient coders in inpatient coding is a sure way to bolster your bottom line and receive the most return on your investment in coding education. But, how do you identify these coders who are ready to train as inpatient coders and grow their professional experience? The key is to rely on a highly skilled team with experience in inpatient coding education, as well as inpatient coding support and auditing services, like YES HIM Consulting. Let our team of experienced HIM and coding experts come in and assist you in implementing this profitable business strategy!
Read MoreCross-Training Coders to Become Inpatient Coding Experts: Live Sessions are the Key to Success
Healthcare organizations, including coders, often struggle with a true return on investment when aiming to cross-train from outpatient to inpatient coding. There are several key differences between inpatient and outpatient coding. Inpatient coding documents a patient’s diagnosis and treatment during hospitalization, while outpatient coding generates a detailed report for diagnoses treated in one visit. Coding for inpatient vs. outpatient also requires different code sets and payment systems.
Read MoreLHIMA Recap: YES COO Impresses with Presentation
Forging a bright future for YES, Executives Vanessa Youmans, Director, OP/ProFee Coding & Auditing, and Mari Cely, Director, Business Strategy & Marketing, represented YES at the annual LHIMA Convention, March 2-4, in New Orleans, LA. While attending the HIM convention, whose tagline reads, “Honoring the Past, Treasuring the Present, and Shaping the Future,” Vanessa and Mari focused on “shaping the future” of YES by meeting with members of the LHIMA chapter and connecting with potential clients.
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