The end of year is typically the most critical time for managed care organizations and health care providers to reconcile hierarchical condition category (HCC) and risk adjusted factor (RAF) scores. […]

Keeping current on the massive amount of change in the social determinants space requires tenacity.  There are new codes released constantly, new mandates to comply with and an increase in […]

Thanks for reading the Inside Angle blog in 2022! As 2023 approaches, we invite you to revisit some of our most popular blogs of the year:  “The OIG and DOJ […]

Risk adjustment is used primarily to predict health care costs based on the relative risk of members or patients. Risk adjustment is designed to mitigate the impacts of potential adverse […]

In my last blog, HCCs: An awareness perspective, I introduced you to Mike, a 66-year old white male with type II diabetes mellitus (DM) and congestive heart failure (CHF). I […]

The idea that, at some point in each of our lives, we may become acutely ill, eventually leading to the development of a chronic medical condition is a very real […]

As a clinical documentation integrity (CDI) and coding professional, I’ve often heard the statement: If it’s not documented, it wasn’t done. I have used this statement educating physicians and nurses […]

I sat down with 3M Health Information Systems Global Chief Medical Officer Sandeep Wadhwa, MD, MBA, to discuss clinical and financial risk management, and risk stratification with Medicare Advantage plans. […]

As we head into 2022, we want to take the time to thank you, our loyal 3M HIS Inside Angle readers, for your continued interest in and engagement with the […]

According to the Center for Disease Control’s National Diabetic Statistics Report 2020, there are 34 million people in the United States that have diabetes. That is 11 percent of the […]

As Medicare Advantage (MA) organizations report chronic disease conditions using ICD-10-CM encounter data to the Centers for Medicare and Medicaid Services (CMS) for use in the hierarchical condition category (HCC) […]

We sat down with 3M Health Information Systems Vice President of the U.S. and Canada Liz Guyton, CPA, to discuss big tech in health care, extinguishing physician burnout and HIMSS. […]