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... by Medical Management Institute | Oct 23, 2017 | Audit Updates, Compliance Updates, Healthcare in the News, MMI Blog
Like all insurance providers, the Centers for Medicare and Medicaid Services (CMS) conduct thousands of routine audits to ensure that they are reimbursing only those services which are appropriate and medically necessary. Every year, countless practices are examined,... by Medical Management Institute | Sep 29, 2017 | Audit Updates, Compliance Updates, Healthcare, MMI Blog
As discussed in a recent Medical Business Journal article, 2017 is the last year to sign up for the Merit-based Incentive Payment System, more commonly known as MIPS. This system, one of the two possible tracks implemented by MACRA, offers a performance-based payment... by Medical Management Institute | Aug 7, 2017 | Audit Updates, Coding Updates, Healthcare in the News, MMI Blog
Since July 1st, the Centers for Medicare and Medicaid Services (CMS) have been conducting audits of almost 300 different services to determine the proper usage of CPT code 99024, Postoperative follow-up visit, normally included in the surgical package, to indicate... 