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.

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 […]

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: CDI program differences: Inpatient vs. outpatient

With Lisa Lanier

What are the differences between inpatient and outpatient CDI programs? Learn more about the unique documentation challenges facing each type of facility.

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.

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 […]

Supervision and Incident-to Guidelines

July 1st, 2015 / By Rebecca Caux-Harry

In past blogs, I’ve written about a variety of E&M services and how to code those visits. In case that seemed straightforward, many years ago mid-level providers were added into […]