Inside Angle

From 3M Health Information Systems

Regulatory Compliance

Get 3M’s perspective on the latest updates from CMS and other important regulatory changes. Find expert advice to help you stay compliant.

Over the MOON: The CMS proposed Medicare Outpatient Observation Notice

October 19th, 2016 / By Barbara Aubry, RN

In case you were on vacation and missed it, on August 6, 2016, Congress enacted the Notice of Observation Treatment and Implication for Care Eligibility Act. The CMS announcement regarding […]

What can we expect in the MACRA final rule?

October 14th, 2016 / By Gretchen Mills

Congress passed MACRA in a bi-partisan (yes it actually can happen!) effort.  The Center for Medicare and Medicaid Services (CMS) released the 900-page proposed rule on April 27, 2016, requesting […]

Creating a buffer between reporting requirements and work that improves outcomes

September 26th, 2016 / By L. Gordon Moore, MD

MIPS is coming and physicians are unsettled.  Programs with the best of intentions can have unintended side effects. Healthcare providers across the U.S. have justified complaints regarding the multiple reporting […]

Balance billing dual eligibles: Taking advantage of the system

August 8th, 2016 / By Barbara Aubry, RN

I was catching up on regulatory reading today (yes, reading CMS regulations is part of my job responsibilities) and saw something troubling—providers are still balance billing qualified Medicare beneficiaries (QMBs, […]

Medical device replacements and the OIG

July 13th, 2016 / By Barbara Aubry, RN

Seems little in health care is straightforward.  An area that I’ve often found confusing has become even more complex: Accurately reporting medical devices. To meet CMS regulations, not only do […]

Webinar: Data quality and the future of reimbursement

Exploring changing quality programs with Christine McNamara, Program Director for Coding Services at 3M HIS and Melody Mulaik, President and Co-Founder of Coding Strategies, Inc.

The OIG turns their attention to Provider-Based Clinics

June 27th, 2016 / By Rebecca Caux-Harry

I have always wondered why the reimbursement for services provided at a Provider-Based Clinic (PBC) was higher (often more than 50 percent higher) than the same services provided at a […]

Latest on the Two-Midnight rule audits

June 15th, 2016 / By Barbara Aubry, RN

You may have heard different rumors regarding the Two-Midnight audits. Here’s a breakdown of the latest information: In April, CMS announced it was not going to impose an inpatient payment […]

Video: Overcoming Incrementalism in Healthcare Transformation

With David Wetherelt, Herb Fillmore

Industry experts met in March 2016 at the State Healthcare IT Connect conference to discuss best practices.

RAC audits and medical necessity – 2016 style

May 11th, 2016 / By Barbara Aubry, RN

When I wrote this blog last week, I understood that the Quality Improvement Organization’s activities for the foreseeable future will be initial audits of short stays under the two midnight […]

April OPPS update: More refinements to comprehensive APCs

April 15th, 2016 / By Dave Fee

Spring is here in the Rockies; the valleys are getting warm and the mountains are still snowcapped, making for a lovely view. With spring comes the April CMS outpatient prospective […]

Documenting medical necessity

January 11th, 2016 / By Barbara Aubry, RN

CMS recently released a new National Coverage Determination (NCD), which was implemented on January 4. NCD 210.14 titled “Lung Cancer Screening with Low Dose Computed Tomography” is good news and […]