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.

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 […]

CMS Releases Clarifications to NCDs and LCDs

December 7th, 2015 / By Barbara Aubry, RN

I feel a bit like January, 2000 – much ado about little. Looks like (so far) ICD-10 is a go. I’m not saying there haven’t been bumps in the road, […]

Focus on patient preferences

November 6th, 2015 / By Barbara Aubry, RN

I am a Registered Nurse. I won’t admit to how many years’ experience I have, but suffice to say, this is not my first rodeo. I had to chuckle when […]

Healthcare compliance more important than ever

October 14th, 2015 / By Barbara Aubry, RN

On September 10, 2015, while most of us in health care were deeply involved in ICD-10 preparation, the Department of Justice (DOJ) released a ruling that will significantly impact every […]

More changes contemplated for short stays

September 16th, 2015 / By Barbara Aubry, RN

As we all focus on the looming deadline for the ICD-10 go-live, CMS is quietly floating more changes to short stay requirements. CMS reiterated its goals of “respecting the judgment […]

Attention Physicians and Coders: CMS’ Advanced Analytics Paying Off – Big Time

August 14th, 2015 / By Barbara Aubry, RN

My mother taught me that it’s impolite to say “I told you so.” My daughter tells me I’m bossy and health care compliance is pretty dry (she’s trying not to […]

CMS Clarifies “ICD-10 Families” and Offers Guidance on ICD-10 Flexibilities

July 29th, 2015 / By Barbara Aubry, RN

The latest from CMS and AMA on July 6, 2015 is a bit confusing – I agree. But a clarification was released yesterday. In case you missed the July 6, […]

OPPS Proposed Rule for 2016

July 15th, 2015 / By Dave Fee

I hope the publication of the 2016 OPPS proposed rule on July 1st did not dampen anyone’s July 4th celebration. The new rule continues the migration CMS began in 2014 […]

Physicians and Coders: No More Unspecified Care

July 8th, 2015 / By Barbara Aubry, RN

The team I work with has done an enormous amount of work translating medical necessity policies from ICD-9 to ICD-10. And we have had many discussions regarding the codes that […]

Millions Claimed by Lost Physicians and Coders

June 10th, 2015 / By Barbara Aubry, RN

There was only one time in my life that I literally did not know where I was. I had just moved to Alexandria, Virginia and took a wrong turn off […]