Inside Angle

From 3M Health Information Systems

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.

MIPS repeal? MedPAC urges scrapping MIPS in favor of tracking more meaningful outcomes

October 6th, 2017 / By L. Gordon Moore, MD

“The Medicare Payment Advisory Commission is pushing for the immediate repeal and replacement of a Medicare payment system that aims to improve the quality of patient care.” – Modern Healthcare […]

Confused about incident-to physician coding and billing compliance?

October 2nd, 2017 / By Barbara Aubry, RN

I recently attended a presentation hosted by my local HFMA chapter. It was an excellent discussion regarding the ins and outs of compliant coding and billing for incident-to services by […]

CMS: Updates to prohibition on billing dually eligible individuals enrolled in the QMB program

September 6th, 2017 / By Barbara Aubry, RN

Last fall, I wrote a blog on providers who continue to bill cost-sharing co-payments to “dually eligible” (Medicare/Medicaid) patients. This practice is not allowed; providers and suppliers are barred from […]

Oh my poor ears, was that PHI I just heard?

August 14th, 2017 / By Kelly Long

Being familiar with the healthcare industry has proven most valuable over the years. However, it is also a curse. We are expected to react to certain situations that others take […]

Quality Payment Program proposed changes for 2018

August 4th, 2017 / By Mary Zeigle, MS

Staying current with the CMS Quality Payment Program is essential for providers.  My previous blog—provided an overview of the program; then, on June 20, 2017, CMS announced changes that represent […]

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.

I don’t care what people say…Quality is here to stay!

December 21st, 2016 / By Cheryl Manchenton, RN

As usual I have a song in my head and this month is no different (rock ‘n’ roll tunes are so catchy)!  As we are about to navigate through uncertain […]

Over the MOON: The CMS proposed Medicare Outpatient Observation Notice

October 19th, 2016 / By Barbara Aubry, RN

In case you were on vacation and missed it, on August 6, 2016, Congress enacted the Notice of Observation Treatment and Implication for Care Eligibility Act. The CMS announcement regarding […]

What can we expect in the MACRA final rule?

October 14th, 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 […]

Creating a buffer between reporting requirements and work that improves outcomes

September 26th, 2016 / By L. Gordon Moore, MD

MIPS is coming and physicians are unsettled.  Programs with the best of intentions can have unintended side effects. Healthcare providers across the U.S. have justified complaints regarding the multiple reporting […]

Balance billing dual eligibles: Taking advantage of the system

August 8th, 2016 / By Barbara Aubry, RN

I was catching up on regulatory reading today (yes, reading CMS regulations is part of my job responsibilities) and saw something troubling—providers are still balance billing qualified Medicare beneficiaries (QMBs, […]

Medical device replacements and the OIG

July 13th, 2016 / By Barbara Aubry, RN

Seems little in health care is straightforward.  An area that I’ve often found confusing has become even more complex: Accurately reporting medical devices. To meet CMS regulations, not only do […]