The Medical Minute – MMI Medical Blog

Combining Hospital Admissions

It’s an all too common scenario: a patient presents to a facility, stays for treatment, gets discharged, and quickly returns complaining of the same or similar issues. Because of the constant back and forth, it can become tricky to determine how to properly bill for...

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Do CMS Audits Go Too Far?

Like all insurance providers, the Centers for Medicare and Medicaid Services (CMS) conduct thousands of routine audits to ensure that they are reimbursing only those services which are appropriate and medically necessary. Every year, countless practices are examined,...

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UHC Keeping Consult Codes For Now

Back in their June bulletin, insurance provider UnitedHealthcare (UHC) announced that, as of the new fiscal year on October 1st, they would no longer be covering consultation codes. As discussed in a previous blog, this decision meant that CPT codes 99241-99245 and...

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Device Coding Updates

With the 2018 fiscal year having just begun on October 1st, a host of new ICD-10-PCS codes have entered standard usage. This includes additions and changes to the field of device insertion, beginning with the new PCS qualifier of J-Intraoperative. This latest...

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MACRA Stats & Issues

Though it may not come as a surprise to anyone who has to deal with it on a regular basis, MACRA (short for Medicare Access and CHIP Reauthorization Act) has created more than its fair share of confusion since it was enacted back in 2015. In particular, the...

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2017 Flu Season Codes

With the recent switch from summer to fall, the 2017 flu season is officially upon us. While those with proper foresight (or perhaps just extreme fear of the debilitating disease) have already swung by their local doctors’ offices or pharmacies to receive the latest...

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