Inside Angle

From 3M Health Information Systems

Tag: Medicare

MedPAC evaluation of readmission reduction program, no change in recommendations to Congress

September 23rd, 2019 / By Gretchen Mills

MedPAC, the advisory commission to Congress for Medicare, presented its evaluation of the Medicare Hospital Readmission Reduction Program (HRRP) at the September meeting. The HRRP was enacted in 2010. In […]

Eyes on Eylea and Lucentis

August 9th, 2019 / By Divya Verma, RHIA

Recently, I came across an OIG announcement “Review of Medicare Part B Claims for Intravitreal Injections of Eylea and Lucentis” released in June 2019. Upon reading this announcement, I pulled […]

Article: Chart Conundrums: Be Mindful of PA Documentation

With Kelly Long, CPC

In her article, Kelly Long, CPC, discusses the importance of accurate and compliant physician assistant reimbursement.

Flying to the hospital and getting treated for air ambulance sticker shock

July 10th, 2019 / By Steve Delaronde

Patients are charged around $1,200 for an ambulance ride to the hospital, while the median price of an air ambulance for privately insured patients is $36,400. Why is the price […]

Ten years after “The Cost Conundrum” – How much has changed?

May 3rd, 2019 / By Steve Delaronde

McAllen, Texas is a border town in the Rio Grande Valley with a metro population of 839,000. On May 25, 2009, Atul Gawande published The Cost Conundrum in which he […]

Modernization of LCD process and relocation of codes

February 1st, 2019 / By Divya Verma, RHIA

On October 3rd, 2018 Medicare announced significant changes to the Local Coverage Determination (LCD) process. As a result, a major change to the LCD format was also announced in Change […]

Webinar: Ready for 2019 value-based purchasing?

With Cheryl Manchenton, RN

The new year is upon us: Are you ready for the 2019 Value-Based Purchasing Program? Eric Sorenson and Cheryl Manchenton will help you get up to speed.

Infographic: Infections with the highest impact on Medicare HAC penalties

When it comes to reducing Hospital Associated Infections (HAIs), where should your organization focus its efforts?

Preview

New momentum to realize the opportunity of telehealth

April 4th, 2018 / By Katie Christensen

On February 9, a new telehealth bill was signed into law that expands coverage for accountable care organizations (ACOs), improves flexibility for telehealth use under Medicare Advantage plans, and allows […]

Solving the mismatch between poor quality scores and outstanding care

January 29th, 2018 / By Kristine Daynes

Recently, I reviewed the Medicare Hospital Value-Based Purchasing (VBP) scores for three hospitals recognized nationally for outstanding care and patient safety. They didn’t look good. The ratings for clinical outcomes […]

CMS: Low Volume Appeals Settlement Initiative

January 17th, 2018 / By Barbara Aubry, RN

I attended the January 9, 2018 CMS Medicare Learning Network conference call covering the logistics of the settlement process offered by CMS for providers with pending appeals. This impacts: “The […]

Article: The role of HCCs in a value-based payment system

With Donna Smith, RHIA, L. Gordon Moore, MD

L. Gordon Moore and Donna Smith discuss how appropriate documentation and coding of hierarchical condition categories (HCCs) can have a significant impact on payment in a value-based system.