Inside Angle

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Inside Angle Blog

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Understanding the EAPG transition and its impact on payment

June 22nd, 2018 / By Shannon Garrison

How hospitals and physicians get paid is changing as the U.S. healthcare system transitions from volume-based to value-based care. Reimbursement methodologies need to allow for a plan to control costs, […]

Transparency in healthcare pricing: It’s time

June 20th, 2018 / By Barbara Aubry, RN

In my last blog, I commented on being overcharged by my PBM for a medication that had been removed from their formulary – allegedly because the FDA pulled some old […]

HCC coding: What’s the big deal?

June 18th, 2018 / By Karla VonEschen, CPC

A hot topic in health care today is Hierarchical Condition Categories (HCCs). At the last local AAPC chapter meeting I attended, we had a guest speaker who discussed HCCs in […]

Machine learning in computer-assisted coding: It’s just not human

June 15th, 2018 / By Gail Barackman, CPC, CPMA, CEMC

Artificial Intelligence (AI) has creeped its way into so many facets of our lives. Video games, self-driving cars and smart home devices are just a few, and I’m sure if […]

The accountable care organization – Are we getting the results we expected?

June 13th, 2018 / By Steve Delaronde

The accountable care organization (ACO) was first proposed in 2006 as a method for reigning in the increasing costs of health care. The Medicare Shared Savings Program (MSSP) was enacted […]

Risk-adjustment should be about cohorts not individuals

June 11th, 2018 / By Richard Fuller, MS

Viewing risk-adjustment as a process of balancing financial risk across defined patient cohorts, rather than the risk posed by an individual, is a position statement rather than an accepted norm. […]

Heat strokes and heat-related illnesses: The dangers of summertime fun

June 8th, 2018 / By Karla VonEschen, CPC

Ah, summer!  I live in Minnesota and have waited through an extended winter for the day when I could bring out my shorts and flip-flops. When we think of summer, […]

Teleradiology: More than a phone call

June 6th, 2018 / By Treena Hansen

Teleradiology is the sending of radiological patient images and reports in multiple modalities from one location to another, for the purpose of sharing studies and results with other radiologists and physicians. […]

Nine things to know as Partnership for Patients faces its next permutation

June 4th, 2018 / By Kristine Daynes

HHS is adapting yet again of one of its most widespread quality initiatives, called Partnership for Patients. Will it be more of the same or a whole new game? HHS […]

The capacity of ICD-10-PCS: How much room is there really? (continued)

June 1st, 2018 / By Rhonda Butler

In my most recent blog, I discussed in general why the capacity of ICD-10-PCS has limits, and how multi-axial structure and hierarchy together define those limits. This time I’m going […]

When hospital-acquired conditions (HACs) hit close to home

May 30th, 2018 / By Steve Cantwell

Late one night this April, my good friend and work associate finds it so difficult to breathe she wakes her husband to drive her to Emergency. One day she’s on […]

The Cloud makes it easy to accumulate data, but should it?

May 25th, 2018 / By AJ Dandrea

As a traditional technology leader, it took me a few years to accept the Cloud and its ability to provide the agility of “adding” storage to solve any problem quickly. […]