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.

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 […]

CMS finalizes E/M changes in its “Dear Clinician” letter

November 12th, 2018 / By Barbara Aubry, RN

On November 8, 2018 CMS released its Dear Clinician letter providing final decisions on the proposed Evaluation and Management coding changes discussed in a previous blog. The letter is a […]

Evaluation and management has come full circle

October 31st, 2018 / By Jean Jones, CPC

I have been in the highly regulated healthcare industry for all my adult life—27 years to be exact. Part of what I love about being in health care is the […]

CMS mandates changes to Local Coverage Determination (LCD) policies

October 5th, 2018 / By Barbara Aubry, RN

On October 3, 2018, CMS released CR 10901, Transmittal R829PI, effective October 3, 2018 with an implementation date of January 8, 2019. This is an important modification to the LCD […]