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The YES HIM Consulting blog provides medical coding news, updates, and resources for health information management and coding professionals. Subscribe to the YES HIM & Coding Insights Newsletter today.

utilization management

Aligning Utilization Management and CDI: A Unified Front to Improve Reimbursement

By YES HIM Consulting

The alignment of UM and CDI has shifted from a best practice to a financial imperative. When these teams operate in silos, gaps in medical necessity rationale, clinical validation, and admission status decisions become fertile ground for denials.

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healthcare fraud

Healthcare Compliance in 2025: What Recent DOJ Actions Mean for Your Organization

By YES HIM Consulting

The Department of Justice’s recent record-breaking healthcare fraud enforcement actions – $14.6 billion across 324 cases – underscore what we’ve been telling clients all year: compliance isn’t optional anymore. We work alongside healthcare organizations to strengthen their compliance infrastructure before issues arise.

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medical records program

Strengthening Your Medical Records Program: How RHIA and RHIT Consultants Help Facilities Navigate CMS Compliance

By YES HIM Consulting

CMS requires all providers to maintain a comprehensive medical records program that protects the integrity, confidentiality, and accessibility of patient records. Whether your facility was just cited or you’re proactively strengthening your compliance efforts, our RHIA and RHIT experts are equipped to guide your team through the entire process.

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merger news

Merger News: YES HIM Consulting Joins Forces with Sage Clinical RCM

By YES HIM Consulting

We are thrilled to announce an important milestone in the growth of YES HIM Consulting. As of this week, YES HIM Consulting has officially merged with Sage Clinical RCM, a mid-revenue cycle company specializing in revenue cycle staffing, consulting, and proprietary technology development.

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clinical documentation specialist

How We Train Clinical Documentation Specialists: A Step-by-Step Model for CDI Success

By YES HIM Consulting

Clinical documentation specialists serve as the essential link between providers, coding professionals, and compliance teams. But how do we train CDI specialists to succeed in such a high-stakes, detail-oriented environment?

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