by Medical Management Institute | Jul 19, 2019 | Medical Coding, MMI Blog
Medical necessity can sometimes be difficult to define. Medical necessity is a decision made by the payers, who never directly see the patient and their illness. Medicare defines medical necessity as services and/or items reasonable and necessary for the diagnosis... 
by Medical Management Institute | Jul 12, 2019 | Medical Coding, MMI Blog
A burn is tissue with partial or complete destruction of the skin caused by heat, sunlight, nuclear radiation, electricity, or chemicals. Every minute in the US someone sustains a burn injury that requires professional treatment. The American Burn Association... 
by Medical Management Institute | Jun 28, 2019 | Clinical Documentation, MMI Blog
Many speak on the financial benefit in Hierarchical Condition Category (HCC) coding, but proper HCC documentation and reimbursement directly affects the patients. The patients are the most important factor, so proper documentation and coding is about more than just... 
by Medical Management Institute | Jun 7, 2019 | MMI Blog
Do you have a certification exam approaching? Whether you’re gearing up for the RMC, RMB, RMA, RMM, REMS, RRC, CPC, CCS, or any other certification exam, we have some great tips to offer you. Before the exam, be sure you are turning off any distractions during... 
by Medical Management Institute | May 31, 2019 | Medical Coding, MMI Blog
Hierarchical Condition Coding (HCC) is a risk adjustment model used by Centers for Medicare and Medicaid Services (CMS) for Medicare Advantage (Part C) contract rates. Risk Adjustment is a health plan process for compensation based on the underlying health conditions.... 