Inside Angle

From 3M Health Information Systems

Tag: HCCs

Strategy weaving: Using HCCs, MACRA and readmission reduction requirements to strategize performance improvement

November 20th, 2019 / By Michael Malohifo’ou, RN, MBA

Far too often, healthcare organizations treat planning and execution as two separate processes which are intended to achieve a larger goal. Leadership makes plans and departments and workers are told […]

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 […]

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 […]

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 […]

Webinar: Improving patient care through the capture of HCC diagnoses in observation patients

Hear from HIM professionals at Atrium Health about how an initiative to ensure complete HCC capture and documentation has improved patient care at their health system.

The role of diagnostic exams in population health and HCC reporting

May 22nd, 2019 / By Michael Malohifo’ou, RN, MBA

Diagnostic exams are an important way for hospitals and health systems to capture more complete, longitudinal patient information. Complete coding of diagnostic exams supports population health management and HCC reporting. […]

CDI New Year’s resolution: The keys to success

January 9th, 2019 / By Cheryl Manchenton, RN

Happy New Year everyone! I am terrible at New Year’s resolutions, but I did make one this year that I hope to stick to: I want to increase my intake […]

Act on the front-end to reduce readmissions penalties

November 16th, 2018 / By Steve Cantwell

In my previous blog, I took a hard look at the impact of mental health and substance abuse on hospital readmissions, especially the torrent of patients with these issues coming […]

HCC coding: What’s the big deal?

June 18th, 2018 / By Karla VonEschen, CPC

A hot topic in health care today is Hierarchical Condition Categories (HCCs). At the last local AAPC chapter meeting I attended, we had a guest speaker who discussed HCCs in […]

HCCs: Whose “problem” is it? It’s an AND, not an OR!

February 26th, 2018 / By Cheryl Manchenton, RN

HCCs are a “problem.” By that I mean no organization can ignore the impact of HCCs. No CDI specialist, HIM professional, quality specialist, provider or billing auditor can remain uneducated […]

M.E.A.T. is even better when well done

February 21st, 2018 / By Kelly Long, CPC

The Official ICD Coding Guidelines state that a condition must be present at the time of the encounter, affect patient care or management and be clearly documented in order to […]

Implications of the 2019 Medicare Advantage Part 1 Advance Notice

January 10th, 2018 / By Gretchen Mills

On December 27, 2017, CMS published Part 1 of this year’s Medicare Advantage (MA) Advance Notice highlighting proposed changes in MA payments for 2019. CMS requires comments on this Part […]