The Medical Minute – MMI Medical Blog
How To Show Medical Necessity
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...
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ICD-10 Coding for Burns
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...
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Importance of Documentation with HCC Coding
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...
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Tips for Passing Your Certification Exam
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...
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HCC Coding Basics
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....
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National Women’s Health Week
National Women’s Health Week is a week to serve as a reminder for women to make their health a priority as well as building positive, lifelong healthy habits. The U.S. Department of Health and Human Services’ Office on Women’s Health oversees National Women’s Health...
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Healthcon 2019 Wrap-Up
MMI attended AAPC’s Healthcon 2019. Healthcon 2018 was MMI’s first time back to Healthcon in a few years, but we were more than excited to exhibit again. Healthcon 2019 was definitely one for the books for MMI. Las Vegas was an amazing time, although Pacific Time did...
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Billing for Procedures Using Devices
We all know there are manufacturers and distributors. A manufacturer typically builds equipment or devices, takes them through Federal Drug Administration testing and then applies for a Current Procedural Terminology (CPT) or a Healthcare Common Procedural Coding...
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Incident To – The Finer Points
“Incident to” is a topic that has been covered for years at various association meetings and articles, yet the subject is continually misunderstood. I would like to review the finer points as a refresher as I continue to hear the same questions. There may be more...
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Medicare’s What’s Covered App
Centers of Medicare and Medicaid Services (CMS) has created the What’s Covered App since two thirds of Medicare patients use the Internet daily. The What’s Covered App gives consumers access to the most used information of the website (Medicare.gov). CMS released a...
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