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Inside Angle Blog

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The ICD-10 thaw, part 2: The FY 2018 ICD-10-PCS update

July 21st, 2017 / By Rhonda Butler

The ICD-10-PCS FY 2018 update was posted on the CMS website in the second half of May, and contains the changes to PCS that go into effect on October 1. […]

Quality reporting and structured data: What it means for ambulatory EMRs

July 19th, 2017 / By L. Gordon Moore, MD

Every year, most health plans are rated on quality by the National Committee for Quality Assurance (NCQA) with Healthcare Effectiveness Data and Information Set (HEDIS). HEDIS gets most of its […]

Time traveling in health care

July 17th, 2017 / By Barbara Zellerino

I just finished reading a book titled “All Our Wrong Todays” by Elan Mastai. It is the story of a young, single man in his early 30s who is pretty […]

Coding with modifiers, part 3: Modifier 59 made easy

July 14th, 2017 / By Rebecca Bailey

Modifiers help tell the story of what the provider did or didn’t do, but too often we get confused when to use the right ones; I like to call it […]

Down with dashboards! Viva la data revolución!

July 12th, 2017 / By Jeremy Zasowski

If your organization is like most, you’re well stocked with dashboards that show your organization’s latest performance metrics. Which numbers are up (DNFB and LOS—Boo!), which numbers are down (CDI […]

Alternative Payment Models support the need for data analysis—right now

July 10th, 2017 / By Barbara Aubry, RN

As a regulatory analyst, I do a lot of research. For years I’ve read a lot about pay-for-performance, quality initiatives and outcomes, Alternative Payment Models (APMs) and every payment method […]

Achieving profitability: Provider-sponsored health plans

July 7th, 2017 / By Carole Cusack

In June, the Robert Wood Johnson Foundation released a new analysis on provider-sponsored health plans (PSPs). While most of the article validated previous analyses and findings, the new information provided […]

A crisis of trust: When patient satisfaction is not enough

July 5th, 2017 / By Steve Delaronde

Is it more important for patients to be satisfied with their health care or to trust those who provide it? It would seem that these are related—satisfied patients trust their […]

CDC reports Candida auris cases in the U.S.

July 3rd, 2017 / By Camille Ruiz, RHIA

I was reading a May 2017 article from the Centers for Disease Control and Prevention (CDC) announcing 122 cases of Candida auris (C. auris) in the past nine months across […]

HIMagine That: Sepsis and clinical denial justification

June 30th, 2017 / By Sue Belley, RHIA, Donna Smith, RHIA

Donna:  Hi, Sue – I’ve been hearing that many hospitals are getting denials for records with sepsis coded as the diagnosis. Sue: Why are they getting denied for that? Donna: […]

Promises not yet kept: Can health IT support healthcare quality?

June 28th, 2017 / By L. Gordon Moore, MD

An interesting convergence of articles flowed over my laptop recently: 1:  Becker’s ACS Review: The 11 things payers, providers really think about value-based care:[1] Seventy-five percent of health plan executives […]

Global surgery visits: New requirements to bill Medicare

June 26th, 2017 / By Rebecca Caux-Harry

This month, Inside Angle blogger Rebecca Caux-Harry discusses E/M coding guidelines with Andee Andriole, 3M senior manager of outpatient consulting services. Andee: So, I guess we need to start thinking […]