Inside Angle

From 3M Health Information Systems

Tag: MACRA

Blog Post

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 […]

Blog Post

-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 […]

Blog Post

Four ways HCCs impact health systems

December 22nd, 2017 / By Kristine Daynes

Hierarchical Condition Categories (HCCs) have been the underlying risk adjustment for many Medicare programs for several years. But they didn’t attract wide interest until CMS began shifting more payment toward […]

Blog Post

Value-based payment means risk adjustment for effective revenue cycle management

May 3rd, 2017 / By Kristine Daynes

Value-based payment models are attracting attention for risk adjustment methodologies, especially HCC risk adjustment, which is used to calculate cost benchmarks for Medicare Advantage and other CMS payment models including […]

Blog Post

MACRA/MIPS: Are you ready?

April 21st, 2017 / By Mary Zeigle, MS

A recent survey in Healthcare Informatics  on physician readiness for implementing MACRA indicates a strong need for assistance and support.  The overall results of readiness of physicians polled show that […]

Blog Post

What’s in it for me? Accurate reimbursement!

February 10th, 2017 / By Rebecca Caux-Harry

I paraphrase, but this is essentially the question we hear from providers when we talk about ICD-10 coding accuracy.

Blog Post

A look back at popular blogs of 2016

December 29th, 2016

Happy New Year and thank you to all our readers! Before we officially start 2017, catch up on five of Inside Angle’s most read blogs of 2016: Overcoming skepticism about […]

Knowledge Lab Post

Webinar: Making sense of MACRA

Have you been leafing through all 2,000+ pages of the Final Rule? Save yourself time and learn how your system can succeed under the new guidelines.

Knowledge Lab Post

Webinar: Value-based reimbursement and the role of HCCs for risk adjustment

With Jeremy Zasowski, Donna Smith, RHIA

CMS is moving to shift healthcare payments from traditional fee-for-service models to value-based reimbursement (VBR). How prepared is your organization to successfully receive accurate reimbursement for your patient population?

Blog Post

Tackling health care’s ever-decreasing competition

November 18th, 2016 / By Richard Fuller, MS, Norbert Goldfield, MD

In a recent perspective piece in JAMA Forum, Dr. Ashish Jha of the Harvard School of Public Health argues that increased provider consolidation is threatening the financial viability of the […]

Blog Post

Physicians and quality metrics: They care…they REALLY care!

November 14th, 2016 / By Cheryl Manchenton, RN

So, this month I am taking a slight detour. Instead of continuing to dissect AHRQ version 6.0 changes, I would like to reflect on providers and quality. I promise to […]

Blog Post

Observations from the corner of Medicare Advantage and MACRA

November 2nd, 2016 / By Clark Cameron, Gretchen Mills

In early October, CMS surprised everyone and published the highly anticipated Final Rule on MACRA well ahead of schedule. A number of blogs have since provided high-level summaries of the […]