Inside Angle

From 3M Health Information Systems

Tag: CMS

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 […]

What is ahead for hospitals based on the December MedPAC meeting?

December 14th, 2018 / By Gretchen Mills

MedPAC is the nonpartisan advisory group that provides advice to Congress (and CMS).  Although not mandatory, MedPAC recommendations are taken seriously and may be implemented by CMS through regulation or […]

CMS finalizes E/M changes in its “Dear Clinician” letter

November 12th, 2018 / By Barbara Aubry, RN

On November 8, 2018 CMS released its Dear Clinician letter providing final decisions on the proposed Evaluation and Management coding changes discussed in a previous blog. The letter is a […]

Do you have policies and procedures for interpreting coding guidelines?

November 7th, 2018 / By Sheldon Barlow

Through my work as an auditor and clinical documentation improvement consultant, I have seen firsthand how healthcare organizations are structured and operate. While every organization is unique, they all have […]

Infographic: Why are hospitals penalized for readmissions

Many eligible U.S. hospitals will be penalized for readmissions this year. What are the top three initial admissions that lead to preventable readmissions?

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Article: Lessons learned from New York State’s transition to value

With Michael Keyes

Michael Keyes describes the approach used by the State of New York in promoting the transition to value-based payment (VBP) and provides insights for how providers nationwide should approach VBP […]

An update on the Hospital Readmission Reduction program

October 10th, 2018 / By Richard Fuller, MS

At the end of September, CMS posted the latest round of data supporting the Hospital Readmission Reduction Program. This is the first year of compliance with the direction of the […]

CMS mandates changes to Local Coverage Determination (LCD) policies

October 5th, 2018 / By Barbara Aubry, RN

On October 3, 2018, CMS released CR 10901, Transmittal R829PI, effective October 3, 2018 with an implementation date of January 8, 2019. This is an important modification to the LCD […]

How deep is that infection? FY19 brings updates to codes affecting quality

September 24th, 2018 / By Cheryl Manchenton, RN

I did NOT enjoy the disco years, but as I was thinking about this blog, a song lyric popped into my head: “How deep is your love…I really need to […]