Inside Angle

From 3M Health Information Systems

Coding and Classification

Straight from our coding experts, the latest regulatory guidelines and best practice tips for anyone who thinks in alphanumeric characters.

Coding with modifiers, part 3: Modifier 59 made easy

July 14th, 2017 / By Rebecca Bailey

Modifiers help tell the story of what the provider did or didn’t do, but too often we get confused when to use the right ones; I like to call it […]

Case Study: Hierarchical condition categories: Get documentation and coding right

With Donna Smith, RHIA

3M research conducted by HIMSS Analytics sought to understand how organizations manage data in support of value-based payment models based on HCCs.

HIMagine That: Sepsis and clinical denial justification

June 30th, 2017 / By Sue Belley, RHIA, Donna Smith, RHIA

Donna:  Hi, Sue – I’ve been hearing that many hospitals are getting denials for records with sepsis coded as the diagnosis. Sue: Why are they getting denied for that? Donna: […]

Global surgery visits: New requirements to bill Medicare

June 26th, 2017 / By Rebecca Caux-Harry

This month, Inside Angle blogger Rebecca Caux-Harry discusses E/M coding guidelines with Andee Andriole, 3M senior manager of outpatient consulting services. Andee: So, I guess we need to start thinking […]

Understanding ICD-10 data: What the root operations can (and can’t) tell you

June 23rd, 2017 / By Rhonda Butler

In my last blog I said that the ICD-10-PCS root operations are not created equal—some are narrowly defined, and some have “wiggle room” in their definitions. By “narrowly defined,” I […]

Rethinking evaluation and management services in EHR documentation

June 12th, 2017 / By Barbara Aubry, RN

I don’t know about you, but I am sure my physicians spend more time typing into their computer than talking with me, except for two that come to mind immediately—one […]

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.

Coding with modifiers, part 2: Modifier 25 made easy

May 26th, 2017 / By Kimberly Crear

The Centers for Medicare and Medicaid Services (CMS) recognizes the use of modifier 25 with Evaluation and Management (E/M) services. Purpose of Modifiers Modifiers explain changes about a service without […]

Coding for meaningful data: ICD-10-PCS root operations

May 24th, 2017 / By Rhonda Butler

Root operations are core concepts at the heart of the ICD-10-PCS classification (PCS for short). Root operations are not created equal—some are more narrowly defined than others. It would be […]

Coding with modifiers, part 1: Modifier 24 made easy

May 19th, 2017 / By Camille Ruiz, RHIA

My colleagues and I were discussing the idea that modifiers have the most room for interpretation by professional fee coders, prompting a three-part blog series covering modifiers 24, 25 and […]

Changes to CPT coding for sedation

May 8th, 2017 / By Rebecca Caux-Harry

The CPT changes for 2017 brought a surprise, at least for me. You may have noticed a trend over the last several years of consolidation within the codeset. When two […]

Article: HCC Accuracy: A Crucial Factor in the Value Equation

With Donna Smith, RHIA

HCCs are not new, but many organizations are only starting to recognize their importance. 3M’s Donna Smith dives into how to manage HCCs in her new article.