Inside Angle

From 3M Health Information Systems

Tag: MACRA

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Strategy weaving: Using HCCs, MACRA and readmission reduction requirements to strategize performance improvement

Nov. 20, 2019 / By Michael Malohifo’ou, RN, MBA, PhD

Far too often, healthcare organizations treat planning and execution as two separate processes which are intended to achieve a larger goal. Leadership makes plans and departments and workers are told […]

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-X modifiers: They’re not just for unbundling

March 29, 2019 / By Rebecca Caux-Harry

For several years now we’ve had four -X modifiers, generally presented as -X (E, P, S, U) which can be used instead of the -59 modifier to unbundle procedure codes […]

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Four ways HCCs impact health systems

Dec. 22, 2017 / By Kristine Daynes

Hierarchical Condition Categories (HCCs) have been the underlying risk adjustment for many Medicare programs for several years. But they didn’t attract wide interest until CMS began shifting more payment toward […]

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Value-based payment means risk adjustment for effective revenue cycle management

May 3, 2017 / By Kristine Daynes

Value-based payment models are attracting attention for risk adjustment methodologies, especially HCC risk adjustment, which is used to calculate cost benchmarks for Medicare Advantage and other CMS payment models including […]

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MACRA/MIPS: Are you ready?

April 21, 2017 / By Mary Zeigle, MS

A recent survey in Healthcare Informatics  on physician readiness for implementing MACRA indicates a strong need for assistance and support.  The overall results of readiness of physicians polled show that […]

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What’s in it for me? Accurate reimbursement!

Feb. 10, 2017 / By Rebecca Caux-Harry

I paraphrase, but this is essentially the question we hear from providers when we talk about ICD-10 coding accuracy.

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A look back at popular blogs of 2016

Dec. 29, 2016

Happy New Year and thank you to all our readers! Before we officially start 2017, catch up on five of Inside Angle’s most read blogs of 2016: Overcoming skepticism about […]

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Tackling health care’s ever-decreasing competition

Nov. 18, 2016 / By Richard Fuller, MS, Norbert Goldfield, MD

In a recent perspective piece in JAMA Forum, Dr. Ashish Jha of the Harvard School of Public Health argues that increased provider consolidation is threatening the financial viability of the […]

Medical professional and consultant looking at a laptop

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Physicians and quality metrics: They care…they REALLY care!

Nov. 14, 2016 / By Cheryl Manchenton, RN

So, this month I am taking a slight detour. Instead of continuing to dissect AHRQ version 6.0 changes, I would like to reflect on providers and quality. I promise to […]

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Observations from the corner of Medicare Advantage and MACRA

Nov. 2, 2016 / By Clark Cameron, Gretchen Mills

In early October, CMS surprised everyone and published the highly anticipated Final Rule on MACRA well ahead of schedule. A number of blogs have since provided high-level summaries of the […]

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What can we expect in the MACRA final rule?

Oct. 14, 2016 / By Gretchen Mills

Congress passed MACRA in a bi-partisan (yes it actually can happen!) effort.  The Center for Medicare and Medicaid Services (CMS) released the 900-page proposed rule on April 27, 2016, requesting […]

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Assessing interoperability for MACRA: Our response to the Health & Human Services RFI

July 15, 2016 / By Amy Sheide

Congress has declared a national objective to achieve widespread exchange of electronic health information nationwide by December 31, 2018. By this July, the U.S. Department of Health & Human Services […]