Inside Angle

From 3M Health Information Systems

Tag: CMS

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An essential next step for healthcare reform: Ensuring the future of safety net institutions

Aug. 17, 2016 / By Richard Fuller, MS, Norbert Goldfield, MD

In the past few weeks, the Journal of the American Medical Association (JAMA) published an article and the National Academies of Sciences, Engineering and Medicine (the Academies) released a report […]

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ICD-10 and good government

Aug. 15, 2016 / By Rhonda Butler

My years of posting blog diatribes against the politics behind the ICD-10 implementation saga may have sent a confusing message regarding government (as distinguished from politics), so I would like […]

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The ICD-10 saga—Lost years and hard lessons

Aug. 10, 2016 / By Richard Averill, MS

The August issue of the Journal of AHIMA features an article by Sue Bowman that chronicles the dire predictions of negative consequences that would ensue if the antiquated 30-year-old ICD-9-CM […]

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ICD-10 and DRG shifts: Your questions answered

July 11, 2016 / By Cheryl Manchenton, RN, Donna Smith, RHIA

Cheryl:  So Donna, I have been getting a lot of questions from clients about ICD-10-CM and PCS lately. I was in elementary school when the last code switch occurred.  Can […]

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New subsidy approach could level playing field between Medicare Advantage and fee-for-service

July 1, 2016 / By Gretchen Mills

There is an interesting concept called per capita premium subsidy that was included in the MedPAC June 2016 report to Congress and the Republican white paper related to reforming healthcare.  […]

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Moving from “old thinking” comparisons of claims-based vs. chart-based methods for quality improvement

June 20, 2016 / By Norbert Goldfield, MD, Richard Fuller, MS

A recent article in the journal Medical Care examines the validity of AHRQ Patient Safety Indicators (PSIs) and CMS Hospital-acquired Conditions (HACs) given the growing reliance of these measures for […]

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ICD-10 after the code freeze: Finally, the ice is breaking

May 25, 2016 / By Rhonda Butler

In an earlier blog, I said it is a common misconception that ICD-10-CM/PCS is brand spanking new. But it isn’t. It is unused. Just as putting meat in the freezer […]

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Why CMS needs to get the hospital-acquired complication policy right

May 18, 2016 / By Norbert Goldfield, MD, Richard Fuller, MS

In our March blog, we highlighted some of the challenges with the CMS Hospital Readmission Reduction Program (HRRP). In that blog, we alluded to similar design flaws that are present […]

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MACRA Proposed Rule: What it means for Medicare Advantage

May 13, 2016 / By Gretchen Mills

On April 27, 2016, the Department of Health and Human Services issued a Notice of Proposed Rulemaking to implement key provisions of the Medicare Access and CHIP Reauthorization Act of […]

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CMS initiatives meant to help primary care result in dismay

May 6, 2016 / By L. Gordon Moore, MD

Populations served by good primary care have – on a risk-adjusted basis – better health outcomes at lower per-capita spending on health.1  Recognizing the need to better resource the work […]

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Medicare Advantage Star ratings and dual-eligible demographic rate adjustments – What’s next?

April 22, 2016 / By Gretchen Mills

As a way to provide better care to beneficiaries and reduce federal health care expenditures, CMS rates each MA plan annually using the Star rating system. Star ratings are based […]

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April OPPS update: More refinements to comprehensive APCs

April 15, 2016 / By Dave Fee

Spring is here in the Rockies; the valleys are getting warm and the mountains are still snowcapped, making for a lovely view. With spring comes the April CMS outpatient prospective […]