Inside Angle

From 3M Health Information Systems

Tag: CMS

National guideline changes for ED E/M coding due by 2022

March 18th, 2019 / By Barbara Aubry, RN

According to a March 7, 2019 article in Modern Healthcare, the Medicare Payment Advisory Commission (MedPAC) has decided to recommend that HHS revisit the national ED coding rules by 2022, citing […]

Setting up a supply item in a charge description master

March 15th, 2019 / By Camille Ruiz, RHIA

On January 17, 2019, CMS issued Transmittal 4204, which states HCPCS Q4122-Dermacell per square centimeter can be assigned either revenue code (RC) 278-Implant or RC 636-Drugs requiring detailed coding. I […]

Data can show us many things, not all of them real…

March 13th, 2019 / By Richard Fuller, MS

Modern Healthcare recently published another article questioning the utility of the CMS hospital readmission reduction program (HRRP). The article used as its basis two publications, the first of which returned […]

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 […]

Webinar: Reduce HACs to boost quality outcomes

With Cheryl Manchenton, RN

In this webinar, 3M quality expert Cheryl Manchenton will discuss the latest HAC regulatory updates and penalties and examine the clinical impact on your hospitals and your patients.

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, […]

Physician billing guidelines are counter-productive. Will the new CMS rule make things worse?

January 18th, 2019 / By L. Gordon Moore, MD

In a Health Affairs blog and an Inside Angle podcast discussion, the health policy expert, physician and self-styled contrarian, Bob Berenson explains why the Evaluation and Management (E/M) coding guidelines […]

Podcast Episode Transcript: Physician payment and performance measurement: Is it fair?

With L. Gordon Moore, MD

Gordon Moore: Welcome to the Inside Angle Podcast. This is Gordon Moore, your host. And today, I’m speaking with Robert Berenson. He is a physician who joined the Urban Institute […]

Revisiting modifier 25

January 16th, 2019 / By Rebecca Caux-Harry

Since the Final Rule for 2019 averted the threat of reduced payment for professional services concerning the -25 modifier, I thought revisiting this troublesome modifier would be a good idea. […]

Webinar: Ready for 2019 value-based purchasing?

With Cheryl Manchenton, RN

The new year is upon us: Are you ready for the 2019 Value-Based Purchasing Program? Eric Sorenson and Cheryl Manchenton will help you get up to speed.

CMS clarifies the CC & ROS documentation changes for E/M services for 2019

December 19th, 2018 / By Barbara Aubry, RN

Yesterday, I saw a new release from CMS clarifying documentation requirements for E/M services in 2019. Little has changed about the data that needs to be collected, but there has […]