Inside Angle

From 3M Health Information Systems

Tag: CMS

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 […]

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 […]