The Medical Minute – MMI Medical Blog
Understanding Transitional Care Management Codes
Although transitional care management codes have been around since 2013, many coders still struggle with finding the right one to use in a situation. These CPT codes aim to reward providers for successfully transitioning a patient from the inpatient setting to their...
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Improved Queries Through Technology
Queries are an important part of maintaining a complete health record and receiving proper reimbursement, but they are also one of the most hated steps by coders and providers alike. Physicians hate the time queries take out of their busy schedules, and coders stress...
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Foster Learning In The Workplace
Learning how to do your job at the beginning is an important first step, but as the healthcare industry evolves, so too do the positions of those that work in it. Coders, billers, managers, and anyone else who works for a practice must be ready to change their ways...
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Possible Modifier 25 Payment Reduction
Healthcare reimbursement amounts are constantly being reevaluated, and it’s no different for modifiers. Recently, the Centers for Medicare and Medicaid Services (CMS) proposed a change that would reduce the reimbursement amount for modifier 25 (Significant, separately...
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Keeping Up With Anxiety Coding
With experts constantly discovering and reclassifying mental illnesses, it can be hard to keep up with so many ICD-10 diagnoses and which one would best fit with a patient’s documentation. Nowhere is this more apparent than with common disorders such as depression and...
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Care Management Home Visit Changes
Physicians who participate in Next Generation Accountable Care Organizations (NGACOs) are about to see new benefits that will make it easier for them to treat patients who are not covered by original Medicare. Starting January 1st, 2019, patients who do not...
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Medicare Cochlear Implant Overpayments
In addition to the other recent reports of the Centers for Medicare and Medicaid Services (CMS) overpaying hospitals, the Office of Inspector General (OIG) has just announced that Medicare has been giving hospitals too much for cochlear implant replacements. According...
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Is Medicare Going Bankrupt?
Although it’s been around for over half a century, there’s a very real possibility that Medicare won’t last much longer. According to Medicare’s Board of Trustees, the trust fund for Medicare Part A will run dry by 2026, while Medicare Part B spending is only growing....
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Avoid Incorrect IMRT Billing
According to a recent investigation from the Office of Inspector General (OIG), the Centers for Medicare and Medicaid Services (CMS) overpaid nearly $26 million to hospitals between 2013 and 2015. While this is a huge sum for any field, this overpayment amount all...
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Discussing Audit Findings With Providers: Part 2
In the first part of this series, we began discussing how to sit down with your providers and review the results of a recent audit. Much of the time, physicians and other practitioners do not have extensive backgrounds in coding or billing, meaning that it will likely...
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