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 […]
3M research conducted by HIMSS Analytics sought to understand how organizations manage data in support of value-based payment models based on HCCs.
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: […]
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 […]
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 […]
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 […]
Donna Smith of 3M Consulting Services explores crucial oversight processes, audit techniques, escalation policies & 2017 ICD-10-CM guidelines.
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 […]
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 […]
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 […]
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 […]
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.