The Medical Minute – MMI Medical Blog
Telehealth Claims Suffer Frequent Errors
After the results of a recent Office of Inspector General (OIG) audit were released back in April, many insurance providers made plans to crack down on telehealth claims. Telehealth claims have expanded exponentially in the past several years, with the amount of...
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Are You Missing Prolonged Services Reimbursement?
The CPT book contains untold thousands of codes, so many that it would be nearly impossible for anybody to learn and understand them all. This means that there are several codes that can result in additional reimbursement when used properly, but many practices do not...
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New CMS-1500 Claim Date Guidelines
Along with countless other recent updates, the Centers for Medicare and Medicaid services (CMS) have also adjusted the date reporting guidelines for their CMS-1500 claims. This update affects all claims of this type that are submitted on or after July 30th, 2018, so...
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New Plans For FCC Telehealth Initiative
Telehealth has been growing steadily over the past several years, and that growth is likely to continue given recent developments. Recently, the Federal Communications Commission (FCC) announced the introduction of their Connected Care Pilot Program, a plan aimed at...
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ICD-10 Updates Help Fight Human Trafficking
The 2019 update to the ICD-10-CM coding system brings a host of beneficial changes, but one of them is worth highlighting specifically. When the changes go into effect on October 1st, practices will now have the ability to report instances of suspected human...
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Cardiac Catheterization Possibly Coming To ASCs
Thanks to a new proposal from the Centers for Medicare and Medicaid Services (CMS), cardiac catheterization might be coming to a whole new type of facility. According to the 2019 Outpatient Prospective Payment System (OPPS), CMS is proposing that ambulatory surgery...
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The End Of Payment For 10-Day Global Periods?
The new year promises to bring plenty of new changes to a host of coding and billing areas, though some are more obvious than others. For practices that perform procedures, the Centers for Medicare and Medicaid Services (CMS) are slowly investigating and making...
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Simple Tips For Appealing Denials
Denied claims are an inevitable part of medical billing life, but that doesn’t mean that you can’t fight back and argue for the reimbursement that you’re owed. If an insurance carrier denies your claim, take a close look at their reasoning so that you can take steps...
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MIPS Data Review Deadline: October 1st
The Merit-based Incentive Payment System (MIPS) has only been around for a few years, but it has already become a commonly confused topic among practices of all specialties. If you plan to review your previously reported data, the time is now. With the October 1st...
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Chiropractic E/M Coding
Evaluation and management (E/M) codes are the most widely used category in medical coding, so it’s no surprise that they apply to dozens of specialties including chiropractic practices. Chiropractic E/M coding can be tricky for those who aren’t familiar with the...
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