The Medical Minute – MMI Medical Blog
Understanding Denied Claims
Claim denials come in a variety of shapes and sizes, and it can be easy to point fingers when reimbursement doesn’t arrive as planned. As a result, some people have come to place the blame for denied claims solely on the shoulders of the medical coders, when in...
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Further Section 340B Reimbursement Delay
As discussed in an older blog last fall, the Centers for Medicare and Medicaid Services (CMS) had originally made plans to significantly decrease the funding for Section 340B drugs. This change would have seen a significant drop in reimbursement for facilities...
read moreBone Mass Measurements & National Osteoporosis Awareness Month
Across the country, roughly 10 million people suffer from osteoporosis, and another 34 million have a risk of developing the condition during their lifetimes. With over 10% of the population affected, the government has declared that May will officially be National...
read moreTips For Communicating With Providers
Issues with incomplete documentation are an unfortunate inevitability in the world of medical coding. Providers are just as human as coders, which means they make mistakes that might necessitate a query in order to clear matters up. Depending on your provider and...
read moreMedicare Boost For Post-Acute Care Facilities
Thanks to recent updates, certain facilities may soon see more reimbursement for Medicare patients. At the end of April, the Centers for Medicare and Medicaid Services (CMS) released a set of new rules and updates, including a new provision for those who work in...
read moreHealthcare Technology – A Double-Edged Sword
Anyone affiliated with the medical industry can attest that the implementation of modern healthcare technology is one of the most contentious issues throughout the field. On one hand, new technologies such as electronic health records (EHRs) are designed to make...
read moreMammography Coding Updates
As mentioned in a previous blog, mammography coding updates have already been a significant topic of discussion since the beginning of the calendar year. Unfortunately, these updates caused a number of new coding issues, meaning that the Centers for Medicare and...
read moreModifier 52 Vs. Modifier 53
Though we have written about CPT modifiers several times in the past, these add-ons continue to pose a puzzle to coders across many disciplines. After all, some sets of modifiers have similar definitions, meaning that choosing which one to use can be quite the...
read moreTelehealth Overpayment Far From Uncommon
Any specific medical field can see a few reimbursement hiccups from time to time, and telehealth is no exception. According to a recent analysis from the Office of Inspector General (OIG), telehealth overpayment was far from uncommon in recent years. In fact, a sample...
read moreNo Need For Prior Authorization Of Some DMEPOS Codes
While a previous blog discussed some of the changes the Centers for Medicare and Medicaid Services (CMS) had made to HCPCS codes for certain oxygen codes, the organization is already planning to enact changes to other areas in the near future. As of April 30th, CMS...
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