Inside Angle

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Inside Angle Blog

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To lower readmission rates, focus on the intersection of cost and quality

August 28th, 2019 / By L. Gordon Moore, MD

A 55-year-old male is admitted to the hospital for an exacerbation of their chronic obstructive pulmonary disease (COPD). An 8-year-old child visits an emergency department with an asthma exacerbation. A […]

How well does the CMS-HCC risk adjustment model predict future expense?

August 26th, 2019 / By Samuel Young, MD

In my previous blog, “Demystifying Medicare Risk Adjustment,” I introduced the model that the Centers for Medicare and Medicaid Services (CMS) uses to predict future Medicare Advantage health expenditures—the CMS-HCC […]

AI Talk: All of Us, Hippocratic Oath, NHS and gray tsunami

August 23rd, 2019 / By V. “Juggy” Jagannathan, PhD

This week’s AI Talk… 230,000 That’s the number of participants the National Institute of Health has managed to recruit for its Precision Medicine Initiative (PMI) cohort. The information was published […]

Pathways to Success for Medicare ACOs: Balancing risk and reward

August 23rd, 2019 / By Gretchen Mills

In 2011 the first 32 Medicare ACOs were announced under the CMS Pioneer ACO program. Since then, CMS has made multiple modifications to the program. Initially, most organizations chose to […]

Waterfalls and data…don’t get submerged!

August 21st, 2019 / By Cheryl Manchenton, RN

I recently had the pleasure of visiting Iceland, the location of my daughter’s destination wedding (at the base of a waterfall!) What a marvelous country. Most surprising were the waterfalls […]

Are we collapsing yet? Over-measurement is part of the hemorrhage in healthcare delivery

August 19th, 2019 / By L. Gordon Moore, MD

It should come as a surprise to no one that healthcare providers are frustrated (a significant understatement) by all of the requirements around documentation of their work with patients. I […]

AI Talk: Steps, SmartNews and voice prints

August 16th, 2019 / By V. “Juggy” Jagannathan, PhD

This week’s AI Talk… 10,000 steps per day That’s the mantra preached by the medical establishment as a gateway to good health. Last month, the Journal of the American Medical […]

E/M Final Rule: What your organization needs to do now

August 16th, 2019 / By Karla VonEschen, CPC

Can you feel change in the air? Not only is fall just around the corner, but so is the CMS change to E/M documentation and payment. By now, most of […]

CMS and AMA: 2021 proposed changes to E/M outpatient services

August 14th, 2019 / By Barbara Aubry, RN

For those involved in coding and compliance, this is not the first time attempted changes to E/M rules have been proposed. Remember 1995 and 1997? Of course, I’m way too […]

Cycling across Iowa: Coding lessons from a week in the corn

August 12th, 2019 / By Rebecca Caux-Harry

July was a weird month for me. I ended up taking vacation in July which I haven’t done since I was a student, oh so many years ago. I’m not […]

AI Talk: Kidney injury, empathetic tech and product recalls

August 9th, 2019 / By V. “Juggy” Jagannathan, PhD

This week’s AI Talk… Predicting Kidney Injury The Wall Street Journal had an article this week on Google’s Deepmind division getting closer to a solution that predicts various kidney conditions. […]

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 […]