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.

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 […]

Stretching the healthcare dollar: Changes coming to the IPPS?

July 17th, 2019 / By Barbara Aubry, RN

The country is revving up for the next election cycle. Like it or not, health care is a focus again and some sword-rattling is taking place regarding the IPPS (Inpatient […]

Radiology documentation: Maximizing revenue and reducing risk

May 29th, 2019 / By Katie Kitchen, CPC

From my previous blogs, you know that I am a huge proponent of computer-assisted coding (CAC). Some of the key goals of CAC utilization are increased productivity, maximizing reimbursement and […]

CMS: What you need to know about new modifiers X1, X2, X3, X4, X5

May 20th, 2019 / By Barbara Aubry, RN

Oh great—more new modifiers! If you’re like me, I read my CMS updates and focus on what needs to be managed based on regulatory deadlines. Back in 2016, I read […]

More laboratory audits: CMS looking at unbundled coding (again)

April 22nd, 2019 / By Barbara Aubry, RN

The March 19, 2019 letter from Seema Verma, CMS Administrator, to Charles Grassley (Chairman of the Committee on finance) assures that CMS is once again analyzing claims data to determine […]

National guideline changes for ED E/M coding due by 2022

March 18th, 2019 / By Barbara Aubry, RN

According to a March 7, 2019 article in Modern Healthcare, the Medicare Payment Advisory Commission (MedPAC) has decided to recommend that HHS revisit the national ED coding rules by 2022, citing […]

A smart mix of audit types to maintain coding quality

February 27th, 2019 / By Kristine Daynes

Compliance requires exacting skills. HIM departments are expected to make sure patient care is appropriately documented, check for medical necessity, assign codes with ICD-10 specificity, identify conditions present on admission […]

CMS changes total knee arthroplasty (TKA) status and applies the Two-Midnight rule

February 11th, 2019 / By Barbara Aubry, RN

On January 24, 2019 CMS released MNL Matters article SE19002, effective January 1, 2018. The change applies to acute care, long-term care and critical access hospitals. As of January 1, […]

Modernization of LCD process and relocation of codes

February 1st, 2019 / By Divya Verma, RHIA

On October 3rd, 2018 Medicare announced significant changes to the Local Coverage Determination (LCD) process. As a result, a major change to the LCD format was also announced in Change […]

CMS clarifies the CC & ROS documentation changes for E/M services for 2019

December 19th, 2018 / By Barbara Aubry, RN

Yesterday, I saw a new release from CMS clarifying documentation requirements for E/M services in 2019. Little has changed about the data that needs to be collected, but there has […]

A look back at popular blogs of 2018

December 17th, 2018

Thank you to all the readers of the Inside Angle blog! As we look ahead to 2019, here are some of our most popular blogs of the year:    “CPT […]