Inside Angle

From 3M Health Information Systems

Revenue Cycle

How will regulatory changes and new payment models impact your organization’s financial health? Our revenue cycle analysts share their perspectives.

Article: A new focus on coding quality audits

With Sue Belley, RHIA

Sue Belley discusses ICD-10 and goes over some frequently asked questions about coding quality audits in this article in Health Management Technology.

Observations from the corner of Medicare Advantage and MACRA

November 2nd, 2016 / By Clark Cameron, Gretchen Mills

In early October, CMS surprised everyone and published the highly anticipated Final Rule on MACRA well ahead of schedule. A number of blogs have since provided high-level summaries of the […]

Innovative payment models for complex populations

July 20th, 2016 / By Richard Fuller, MS, Norbert Goldfield, MD

In developing our classification tools we are continually called upon to make judgement calls on the relative clinical complexity of individuals and the interaction between comorbid chronic conditions on quality […]

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 […]

Leveling the playing field through site-neutral payment

April 18th, 2016 / By Richard Averill, MS, Richard Fuller, MS

Our recent article, “Implementing a Site-Neutral PPS,” published in the HFMA journal, highlights the potential for a reform currently making its way through the legislative process. The proposed legislation—referred to […]

Can one state lead the nation to healthcare reform?

March 7th, 2016 / By Steve Delaronde

The ultimate goal of the Triple Aim is to address the problem that healthy communities create for hospitals and other healthcare providers. Under the fee-for-service model, providers make money treating […]

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 […]

E&M coding: Incident-to vs. shared visit guidelines

September 23rd, 2015 / By Rebecca Caux-Harry

I’ve written in the past about how to score the language within an E&M note. There are a number of ways to arrive at the same code, or in fact, […]

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 […]

Video: Inpatient vs. outpatient: What determines payment?

With Donna Smith, RHIA

3M’s Donna Smith explains why the differences can impact a clinical documentation improvement program.

Video: How HCCs help hospitals

With Donna Smith, RHIA

Can HCCs be used to improve patient outcomes? Learn more from 3M’s Donna Smith.