Inside Angle

From 3M Health Information Systems

Tag: CMS

Stretching the healthcare dollar: Changes coming to the IPPS?

July 17th, 2019 / By Barbara Aubry, RN

The country is revving up for the next election cycle. Like it or not, health care is a focus again and some sword-rattling is taking place regarding the IPPS (Inpatient […]

Demystifying Medicare Risk Adjustment

July 15th, 2019 / By Samuel Young, MD

As the activity around the forthcoming 2020 election period is heating up, and with it, talk of “Medicare-For-All” options, I thought I’d begin my contribution to the Inside Angle blog […]

ICD-10, FY 2020, and the weirdness of time

July 8th, 2019 / By Rhonda Butler

For those of us facing “maturity,” when we were growing up the year 2020 seemed an impossibly exotic thing, the stuff of science fiction. Time has flown like a freaking […]

Updates to E/M guidelines will reflect modern health care

July 1st, 2019 / By Rebecca Caux-Harry

In the morning, while getting ready for work, I listen to the radio. It’s the same program I’ve listened to for over 20 years. Normally, I “tune out” when commercials […]

ICD-10 data meets the IPPS Rule: MS-DRG proposed change highlights, part 1

June 17th, 2019 / By Rhonda Butler

If there is a theme to this year’s proposed MS-DRG changes in the IPPS proposed rule, it is “ICD-10 Data.” Now that two years’ worth of ICD-10 coded MedPAR data […]

E/M codes: AMA keeps pace with CMS

May 24th, 2019 / By Rebecca Caux-Harry

In March, the American Medical Association (AMA) published their CPT Editorial Summary of Panel Action February 2019.  The summary warns that final CPT codes and descriptors are still in draft […]

CMS: What you need to know about new modifiers X1, X2, X3, X4, X5

May 20th, 2019 / By Barbara Aubry, RN

Oh great—more new modifiers! If you’re like me, I read my CMS updates and focus on what needs to be managed based on regulatory deadlines. Back in 2016, I read […]

The new CMS MIPS site: A breath of fresh air

May 8th, 2019 / By Allison Morgan, MS, CPC

While the intent of MIPS is important with its end goal of improved quality and patient care, the program’s content can be challenging for coders, billers and providers. The data […]

SDOH, ICD-10, and avoiding the M-word

May 6th, 2019 / By Rhonda Butler

In my last blog, I recommended checking out excerpts from the March ICD-10 Coordination and Maintenance meeting. Those excerpts were written proposals for ICD-10 codes describing SDOH (Social Determinants of […]

Article: The role of coders and CDI teams in HACRP success

With Cheryl Manchenton, RN

HIM, CDI, and inpatient coding professionals can play a significant role in helping their organizations be successful under HACRP. Read Cheryl Manchenton’s article to find out how.

More laboratory audits: CMS looking at unbundled coding (again)

April 22nd, 2019 / By Barbara Aubry, RN

The March 19, 2019 letter from Seema Verma, CMS Administrator, to Charles Grassley (Chairman of the Committee on finance) assures that CMS is once again analyzing claims data to determine […]

-X modifiers: They’re not just for unbundling

March 29th, 2019 / By Rebecca Caux-Harry

For several years now we’ve had four -X modifiers, generally presented as -X (E, P, S, U) which can be used instead of the -59 modifier to unbundle procedure codes […]