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.

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 […]

Implications of the 2019 Medicare Advantage Part 1 Advance Notice

January 10th, 2018 / By Gretchen Mills

On December 27, 2017, CMS published Part 1 of this year’s Medicare Advantage (MA) Advance Notice highlighting proposed changes in MA payments for 2019. CMS requires comments on this Part […]

Lest we forget: Focus still on medical necessity

December 6th, 2017 / By Barbara Aubry, RN

Can you believe 2017 is coming to a close? Did this year fly by for everyone, or is it just me? Some pretty interesting ideas were put forth in 2017, […]

OIG: The cost of noncompliance? $66+ million to be recovered from hospitals

October 30th, 2017 / By Barbara Aubry, RN

In September 2017, Office of Inspector General (OIG) released a report titled “Medicare Inappropriately Paid Acute-Care Hospitals for Outpatient Services They Provided to Beneficiaries Who Were Inpatients of Other Facilities.” […]

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 […]

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 […]

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.

Important coding update from CMS: New mandated reporting for Global Surgical Values

April 28th, 2017 / By Barbara Aubry, RN

This month, I had planned to share some good news on population health, but that will have to wait until next month. I literally just got off a call with […]