by Medical Management Institute | Nov 2, 2018 | Audit Updates, Clinical Documentation, Healthcare, MMI Blog, Physician
Starting off with a coding credential is an excellent way to get your foot in the door of the medical coding world, but it is far from the end of the story. Many coders choose to undergo further training and earn additional credentials in order to be better prepared...
by Medical Management Institute | Oct 31, 2018 | Audit Updates, Healthcare, Healthcare in the News, Medicare, MMI Blog
With an insurer as big as the Centers for Medicare and Medicaid Services (CMS), it’s an inevitability that some Medicaid claims in the system will get lost or misinterpreted. What is far less acceptable, however, is when states intentionally manipulate this data in...
by Medical Management Institute | Aug 28, 2018 | Audit Updates, Compliance Updates, Healthcare, Healthcare in the News, Medical Coding, MMI Blog
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... by Medical Management Institute | Apr 20, 2018 | Audit Updates, Compliance Updates, Healthcare, Medical Coding, MMI Blog
Every practice does their best to file accurate, compliant claims, but sometimes the definitions of what exactly is “compliant” can differ from place to place, even among major organizations. Recently, the Office of Inspector General (OIG) conducted an audit of 300... by Medical Management Institute | Mar 19, 2018 | Audit Updates, Compliance Updates, Healthcare, Healthcare in the News, MMI Blog
At present, any patient who is going to receive an implantable cardioverter defibrillator (ICD) has to go through a rigorous set of tests and pre-certifications. These devices, implanted in those with limited life expectancy due to chronic heart failure, are the... by Medical Management Institute | Mar 8, 2018 | Audit Updates, Clinical Documentation, Healthcare, Healthcare in the News, MMI Blog
All types of claims are subject to audits every now and then, but some can draw more attention than others. Such is the case for off-the-shelf orthotics, a category that has seen its number of claims double in just the past few years alone. According to the Office of...