Inside Angle

From 3M Health Information Systems

Topic: Regulatory Compliance

Get 3M’s perspective on the latest updates from CMS and other important regulatory changes. Find expert advice to help you stay compliant.

Article: Billing and coding: Compliant coding and documentation for physician assistants

With Kelly Long, CPC

Physician assistants are reimbursed under strict guidelines established by Medicare, Medicaid, TRICARE, and commercial payers, making it critical that coding and billing of PA services is accurate, complete, and compliant. […]

CMS proposed updates to the Stark Law: Comment now

November 8th, 2019 / By Barbara Aubry, RN

While reading a recent CMS release regarding proposed updates to the Stark Law, I was reminded that it was first released in 1998. With value-based reimbursement, relationships between providers has […]

Sign of the times…the potential new eCQMs part 3

October 7th, 2019 / By Cheryl Manchenton, RN

As I mentioned in my previous blogs, the sign of the times in health care can often be reflected in the proposed (and confirmed) new electronic Clinical Quality Measures (eCQMs). […]

CMS: Follow appropriate use criteria (AUC) coding for 2020 radiology services

October 2nd, 2019 / By Barbara Aubry, RN

This has been in the works for a while: On July 26, 2019 CMS released CR Transmittal R2323OTN, Med Learn Matters number 11268 to take effect January 1, 2020 with […]

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 […]

Sign of the times…the potential new eCQMS part 2

September 16th, 2019 / By Cheryl Manchenton, RN

As I mentioned in my previous blog, the sign of the times in health care can often be reflected in the proposed (and confirmed) new electronic Clinical Quality Measures (eCQMs). […]

Article: News bringing coding compliance into the digital age prevents denials

Hospitals have relied on a relatively manual process and retrospective audits for coding compliance, but new technology is streamlining the process, allowing providers to get ahead of denials.

Sign of the times…the potential (and confirmed) new eCQMS part 1

September 9th, 2019 / By Cheryl Manchenton, RN

I have to confess I am starting to show my age. When someone mentions sign of the times, I think of Petula Clark Sign of the times, not the Harry […]

New requirements for EMTALA

September 6th, 2019 / By Barbara Aubry, RN

In case you missed the release of the Medicare Learning Network (MLN) Matters article SE19012 on June 27, 2019, I wanted to share some insights for all the compliance folks […]

Pathways to Success for Medicare ACOs: Balancing risk and reward

August 23rd, 2019 / By Gretchen Mills

In 2011 the first 32 Medicare ACOs were announced under the CMS Pioneer ACO program. Since then, CMS has made multiple modifications to the program. Initially, most organizations chose to […]

CMS and AMA: 2021 proposed changes to E/M outpatient services

August 14th, 2019 / By Barbara Aubry, RN

For those involved in coding and compliance, this is not the first time attempted changes to E/M rules have been proposed. Remember 1995 and 1997? Of course, I’m way too […]

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 […]