Inside Angle

From 3M Health Information Systems

Tag: CMS

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 […]

How well does the CMS-HCC risk adjustment model predict future expense?

August 26th, 2019 / By Samuel Young, MD

In my previous blog, “Demystifying Medicare Risk Adjustment,” I introduced the model that the Centers for Medicare and Medicaid Services (CMS) uses to predict future Medicare Advantage health expenditures—the CMS-HCC […]

Pathways to Success for Medicare ACOs: Balancing risk and reward

August 23rd, 2019 / By Gretchen Mills

In 2011 the first 32 Medicare ACOs were announced under the CMS Pioneer ACO program. Since then, CMS has made multiple modifications to the program. Initially, most organizations chose to […]

E/M Final Rule: What your organization needs to do now

August 16th, 2019 / By Karla VonEschen, CPC

Can you feel change in the air? Not only is fall just around the corner, but so is the CMS change to E/M documentation and payment. By now, most of […]

CMS and AMA: 2021 proposed changes to E/M outpatient services

August 14th, 2019 / By Barbara Aubry, RN

For those involved in coding and compliance, this is not the first time attempted changes to E/M rules have been proposed. Remember 1995 and 1997? Of course, I’m way too […]

Article: Chart Conundrums: Be Mindful of PA Documentation

With Kelly Long, CPC

In her article, Kelly Long, CPC, discusses the importance of accurate and compliant physician assistant reimbursement.

Healthcare price transparency in 2020: Is it enough to control prices?

August 7th, 2019 / By Steve Delaronde

A proposal was issued by the Centers for Medicare and Medicaid Services (CMS) on July 29, 2019 stating that hospitals must make public the payer-negotiated price for 300 common shoppable […]

AI Talk: FHIR, FaceApp, diapers and failures

August 5th, 2019 / By V. “Juggy” Jagannathan, PhD

This week’s AI Talk… FHIR on fire Fast Health Interoperability Resources (FHIR), pronounced as “fire,” is HL7 healthcare interoperability standards specification. Early in 2019, ONC and CMS signaled that they […]

HCCs: The importance of coders

July 26th, 2019 / By Karla VonEschen, CPC

After attending an AAPC presentation last year, I published a blog about HCC coding. Since then, I have continued to dive into the world of HCCs. To follow up on […]