Inside Angle

From 3M Health Information Systems

Tag: compliance

Article: News bringing coding compliance into the digital age prevents denials

Hospitals have relied on a relatively manual process and retrospective audits for coding compliance, but new technology is streamlining the process, allowing providers to get ahead of denials.

eGuide: What makes an effective coding quality program?

Could your coding quality program use some work? Review best practices for creating an optimal program.

Radiology documentation: Maximizing revenue and reducing risk

May 29th, 2019 / By Katie Kitchen, CPC

From my previous blogs, you know that I am a huge proponent of computer-assisted coding (CAC). Some of the key goals of CAC utilization are increased productivity, maximizing reimbursement and […]

eGuide: Paving the way for single-path coding

Specialization and single-path coding are gaining traction, and both are important strategies for coding teams that need to streamline processes, maximize coder output and reduce costs. This eGuide provides strategies […]

The importance of medical necessity compliance: Recent actions by the U.S. Attorney’s Office and the OIG

July 16th, 2018 / By Barbara Aubry, RN

I’ve been talking about this for years. I still see folks who don’t think compliance with medical necessity polices is critical. Believe me, I understand human nature; noncompliance can be […]

Mammograms and Modifier 52

February 12th, 2018 / By Barbara Aubry, RN

In late December 2017, I was asked by a colleague for my opinion on a customer’s inquiry about modifier 52 and its use in mammograms. CPT® modifier 52 represents a […]

OIG: The cost of noncompliance? $66+ million to be recovered from hospitals

October 30th, 2017 / By Barbara Aubry, RN

In September 2017, Office of Inspector General (OIG) released a report titled “Medicare Inappropriately Paid Acute-Care Hospitals for Outpatient Services They Provided to Beneficiaries Who Were Inpatients of Other Facilities.” […]

Article: Embrace risk adjustment

With Donna Smith, RHIA

This article details how coders can enhance their careers by becoming proficient in the finer points of the latest payment methodologies.

CMS: Updates to prohibition on billing dually eligible individuals enrolled in the QMB program

September 6th, 2017 / By Barbara Aubry, RN

Last fall, I wrote a blog on providers who continue to bill cost-sharing co-payments to “dually eligible” (Medicare/Medicaid) patients. This practice is not allowed; providers and suppliers are barred from […]

Webinar: Quality checks on physician documentation

With Donna Smith, RHIA

Donna Smith of 3M Consulting Services explores crucial oversight processes, audit techniques, escalation policies & 2017 ICD-10-CM guidelines.

2017 MOON update: Take this seriously

February 17th, 2017 / By Barbara Aubry, RN

Last year I wrote a blog about the new Medicare Outpatient Observation Notice or MOON, the latest in the CMS library of Beneficiary Notices. A lot of folks thought no […]

HIMagine that: Guideline 19 revisited

February 6th, 2017 / By Donna Smith, RHIA, Sue Belley, RHIA

Donna: Hey Sue, have you read the WEDI document on the 2016 ICD-10-CM Clinical Indicators? This is another opinion on Guideline 19, which was published in the 2017 “ICD-10-CM Official […]