Inside Angle

From 3M Health Information Systems

Tag: audits

Blog Post

Red Flag: OIG chart reviews of Medicare Advantage records raise concerns. Billions misspent?

February 14th, 2020 / By Barbara Aubry, RN

Audits of Hierarchical Condition Categories (HCCs) have been performed for years as a way for Part C vendors (Medicare Advantage Organizations) to identify and support patients with complex needs. Higher […]

Knowledge Lab Post

Article: Developing a hospital claim validation strategy to prevent denials

With Sue Belley, RHIA

3M experts describe strategies for developing a comprehensive hospital claim validation strategy.

Blog Post

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 […]

Knowledge Lab Post

Webinar: Quality checks on physician documentation

With Donna Smith, RHIA

Donna Smith of 3M Consulting Services explores crucial oversight processes, audit techniques, escalation policies & 2017 ICD-10-CM guidelines.