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 20, 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 29, 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 22, 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 3, 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 21, 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 10, 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 29, 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 […]

Blog Post

Tackling health care’s ever-decreasing competition

November 18, 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 14, 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 2, 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 […]

Blog Post

What can we expect in the MACRA final rule?

October 14, 2016 / By Gretchen Mills

Congress passed MACRA in a bi-partisan (yes it actually can happen!) effort.  The Center for Medicare and Medicaid Services (CMS) released the 900-page proposed rule on April 27, 2016, requesting […]

Blog Post

Assessing interoperability for MACRA: Our response to the Health & Human Services RFI

July 15, 2016 / By Amy Sheide

Congress has declared a national objective to achieve widespread exchange of electronic health information nationwide by December 31, 2018. By this July, the U.S. Department of Health & Human Services […]