Inside Angle

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Inside Angle Blog

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  • Topic: Revenue Cycle

Eyes on Eylea and Lucentis

August 9th, 2019 / By Divya Verma, RHIA

Recently, I came across an OIG announcement “Review of Medicare Part B Claims for Intravitreal Injections of Eylea and Lucentis” released in June 2019. Upon reading this announcement, I pulled […]

Optimizing your hospital’s RCM tech investments

April 3rd, 2019 / By Gretchen Mills

You are aware of the challenges facing hospitals these days: growing bad debt, payment constraints, ever-changing, unfunded regulatory requirements, staffing challenges, new mega tech competitors. The list goes on! So […]

Finding a common language: A key component of quality improvement

November 28th, 2018 / By L. Gordon Moore, MD

I think it’s reasonable to say that most people working in health care are motivated to deliver high quality care to the people they serve. Because humans are complicated organisms, […]

The growing obesity epidemic: What to do about outpatient obesity denials?

November 21st, 2018 / By Camille Ruiz, RHIA

As I look forward to pulling the turkey out of the oven tomorrow and placing it on the table between the gravy and the green bean casserole, I’m reminded of […]

Hospitals, health systems and value-based payment: How do they work together?

July 25th, 2018 / By L. Gordon Moore, MD

The pressure to improve healthcare outcomes and reduce unnecessary use of healthcare resources weighs heavily on hospital and health system administrators working with tight margins. Success under value-based payment requires […]

CMS: Evaluation and Management (E/M) coding changes proposed

July 23rd, 2018 / By Barbara Aubry, RN

I don’t know about you, but my head is spinning. On July 12, 2018, Administrator Verma released an email with some pretty stunning news. I’m going to focus on the […]

A fix for persistent staffing challenges

July 13th, 2018 / By Kristine Daynes

Roughly 40 percent of healthcare financial leaders say their organizations lack in-house expertise and staffing for extremely important activities, such as managing new regulations and payment models. The gaps put […]

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 […]

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 […]

Launching the Inside Angle Podcast: Discussions with healthcare thought leaders and innovators

February 14th, 2018 / By L. Gordon Moore, MD

One of the best parts of my job is the opportunity to interact with thought leaders and innovators from across the spectrum of healthcare delivery in the U.S. Given the […]

Mammograms and Modifier 52

February 12th, 2018 / By Barbara Aubry, RN

In late December 2017, I was asked by a colleague for my opinion on a customer’s inquiry about modifier 52 and its use in mammograms. CPT® modifier 52 represents a […]

Value-based payment means risk adjustment for effective revenue cycle management

May 3rd, 2017 / By Kristine Daynes

Value-based payment models are attracting attention for risk adjustment methodologies, especially HCC risk adjustment, which is used to calculate cost benchmarks for Medicare Advantage and other CMS payment models including […]