Inside Angle

From 3M Health Information Systems

Tag: audits

Blog post

Red Flag: OIG chart reviews of Medicare Advantage records raise concerns. Billions misspent?

Feb. 14, 2020 / By Barbara Aubry, RN

Audits of Hierarchical Condition Categories (HCCs) have been performed for years as a way for Part C vendors (Medicare Advantage Organizations) to identify and support patients with complex needs. Higher […]

Blog post

A smart mix of audit types to maintain coding quality

Feb. 27, 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 […]