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Inside Angle Blog

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A smart mix of audit types to maintain coding quality

February 27th, 2019 / By Kristine Daynes

Compliance requires exacting skills. HIM departments are expected to make sure patient care is appropriately documented, check for medical necessity, assign codes with ICD-10 specificity, identify conditions present on admission […]

Compute is everywhere, but where is the data?

February 25th, 2019 / By AJ Dandrea

It has been over twenty years since the Health Information Portability and Accountability Act (HIPAA) was enacted in 1996. The first part of the acronym stands out to me because […]

The first nosologists: Classifying disease in 16th century London

February 22nd, 2019 / By Precious Porter, RN, BSN

2019 marks the 250th anniversary of the publication of Synopsis Nosologiae Methodicae, authored by the Scottish physician and professor William Cullen, which described a system for classifying disease based on […]

Finding and adopting innovations in healthcare delivery

February 20th, 2019 / By L. Gordon Moore, MD

Dr. John “Rick” LeMoine has an interesting role at Sharp HealthCare. He’s Chief Medical Information Officer but is not in charge of a large staff.  In fact, when he describes […]

Seeing pink in February: Documentation specificity with breast studies

February 18th, 2019 / By Allison Morgan, MS, CPC

Every October we see pink during breast cancer awareness month. However, with the recent 2019 CPT updates that took effect January 1, the addition of some new breast-related codes reminded […]

Implementing CMS rule for 2019 – Evaluation and Management guidelines

February 15th, 2019 / By Jean Jones, CPC

One of the things that makes Tom Brady a great quarterback is his ability to think downfield. He’s not just thinking about the current play, but considering all the plays […]

Medicare Advantage Advanced Notice for 2020: Key insights

February 13th, 2019 / By Gretchen Mills

CMS has released the Advance Notice Parts I and II per the annual cycle of Medicare Advantage (MA) regulatory guidelines for the coming year. The Advance Notices provide the parameters […]

CMS changes total knee arthroplasty (TKA) status and applies the Two-Midnight rule

February 11th, 2019 / By Barbara Aubry, RN

On January 24, 2019 CMS released MNL Matters article SE19002, effective January 1, 2018. The change applies to acute care, long-term care and critical access hospitals. As of January 1, […]

Terminologies: Critical, but often deferred in FHIR application development

February 8th, 2019 / By Tosh Kartchner, RN

The Health Level 7 (HL7) Fast Healthcare Interoperability Resources (FHIR) standard is getting widespread support and gathering momentum in adoption. In compliance with this standard, we’ve developed FHIR-compliant Application Programming […]

The Iron Triangle of Health Care: Access, cost and quality

February 6th, 2019 / By Steve Delaronde

The “Iron Triangle” in health care refers to the concept that access, cost and quality cannot all be simultaneously improved. The premise is that an improvement in one area results […]

Mind blindness, data blindness and the power of concurrent collaboration

February 4th, 2019 / By Steve Cantwell

I have learned countless lessons about perception from my son who is on the autism spectrum. He has helped me better understand how we can inadvertently misinterpret or misuse healthcare […]

Modernization of LCD process and relocation of codes

February 1st, 2019 / By Divya Verma, RHIA

On October 3rd, 2018 Medicare announced significant changes to the Local Coverage Determination (LCD) process. As a result, a major change to the LCD format was also announced in Change […]