Inside Angle

From 3M Health Information Systems

Tag: CMS

Article: Billing and coding: Compliant coding and documentation for physician assistants

With Kelly Long, CPC

Physician assistants are reimbursed under strict guidelines established by Medicare, Medicaid, TRICARE, and commercial payers, making it critical that coding and billing of PA services is accurate, complete, and compliant. […]

CMS proposed updates to the Stark Law: Comment now

November 8th, 2019 / By Barbara Aubry, RN

While reading a recent CMS release regarding proposed updates to the Stark Law, I was reminded that it was first released in 1998. With value-based reimbursement, relationships between providers has […]

The changing seasons of quality: The new IQR measures part 2

November 4th, 2019 / By Cheryl Manchenton, RN

As I noted in my previous blog on the changes to the IQR program, fall brings joy to some and sadness to others. With the fall comes changes to the […]

The changing seasons of quality: The new IQR measures, part 1

October 28th, 2019 / By Cheryl Manchenton, RN

“A time to weep and a time to laugh; a time to mourn, and a time to dance” Ecclesiastes 3:4 Fall brings joy to some and sadness to others. I […]

HCPCS update reminder: Billing for amniotic membrane

October 18th, 2019 / By Camille Ruiz, RHIA

It’s that time of year, coders, when many of us are attending webinars on 2020 Coding updates. For outpatient hospital coders and CDM staff, this will include ICD-10-CM/PCS as well […]

Sign of the times…the potential new eCQMs part 3

October 7th, 2019 / By Cheryl Manchenton, RN

As I mentioned in my previous blogs, the sign of the times in health care can often be reflected in the proposed (and confirmed) new electronic Clinical Quality Measures (eCQMs). […]

CMS: Follow appropriate use criteria (AUC) coding for 2020 radiology services

October 2nd, 2019 / By Barbara Aubry, RN

This has been in the works for a while: On July 26, 2019 CMS released CR Transmittal R2323OTN, Med Learn Matters number 11268 to take effect January 1, 2020 with […]

What is most important to patients: convenience, cost or quality?

September 25th, 2019 / By Steve Delaronde

Does a patient prioritize convenience, cost or quality when it comes to taking care of his or her health? Do patients approach different conditions the same way—a sprained ankle, back […]

ICD-10-PCS stocktaking discussion at the September C&M meeting

September 18th, 2019 / By Rhonda Butler

Classification systems like ICD-10-CM and ICD-10-PCS are all about trade-offs—balancing the ongoing need for new levels of detail with the increasing complexity of the classification. PCS has its own unique […]

Sign of the times…the potential new eCQMS part 2

September 16th, 2019 / By Cheryl Manchenton, RN

As I mentioned in my previous blog, the sign of the times in health care can often be reflected in the proposed (and confirmed) new electronic Clinical Quality Measures (eCQMs). […]

Sign of the times…the potential (and confirmed) new eCQMS part 1

September 9th, 2019 / By Cheryl Manchenton, RN

I have to confess I am starting to show my age. When someone mentions sign of the times, I think of Petula Clark Sign of the times, not the Harry […]

New requirements for EMTALA

September 6th, 2019 / By Barbara Aubry, RN

In case you missed the release of the Medicare Learning Network (MLN) Matters article SE19012 on June 27, 2019, I wanted to share some insights for all the compliance folks […]