The Medical Management Institute - MMI
The Medical Management Institute - MMI
The Medical Management Institute - MMI

MMI Updates & Announcements

  • House Votes Overwhelmingly to Permanently Repeal the SGR...No Mention of ICD-10

    Posted: Mar 27 2015

    Source: Energy & Commerce Committee WASHINGTON, DC – House Energy and Commerce Committee members today spoke in support of H.R. 2 to permanently repeal the flawed Sustainable Growth Rate (SGR), establish a fair and stable payment system for Medicare, protect seniors’ access to their doctors, begin to strengthen Medicare over the long term, and extend the Children’s Health Insurance Program. H.R. 2 was approved by a vote of 392-37. The legislation repeals the flawed Sustainable Growth Rate (SGR)formula and replaces it with the bicameral, bipartisan agreement to return stability to Medicare physician payments. The SGR formula is a cap on aggregate spending on physicians’ services where exceeding the cap resulted in punitive recoupments in subsequent years. The formula was passed into law in the Balanced Budget Act of 1997 to control physician spending, but it has failed to work. Since 2003, Congress has spent nearly $170 billion in short-term patches to avoid unsustainable cuts imposed by...

  • Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 21.1, Effective April 1, 2015

    Posted: Mar 24 2015

    Source: MLN Matters® & CMS   The Centers for Medicare & Medicaid Services (CMS) developed the National Correct Coding Initiative (NCCI) to promote national correct coding methodologies and to control improper coding that leads to inappropriate payment in Part B claims. The coding policies developed are based on coding conventions defined in the American Medical Association’s Current Procedural Terminology manual, national and local policies and edits, coding guidelines developed by national societies, analysis of standard medical and surgical practice, and review of current coding practice. The latest package of NCCI edits, Version 21.1, effective April 1, 2015, will be available to the MACs via the CMS Data Center on or about January 31, 2015, and a final file will be available to them on or about February 14, 2015. Updates Version 21.1 will include all previous versions and updates from January 1, 1996, to the present. In the past, NCCI was...

  • St. Paddy's Day Promotion (3/17-3/18)

    Posted: Mar 16 2015

      This one-day promotion has been extended! Purchase any training, CEU course or certification exam through MMI and you will receive 25% back on an Amazon Gift Card! No promo code necessary. Expires 3/19/2015 at midnight ET.  For example: Purchase a $129 CEU course today and you will get an Amazon Gift Card worth $32.25.  Purchase a $1,099 training course today and you will get an Amazon Gift Card worth $274.75.    Redeem the gift card on the following services: Online or Live ICD-10-CM Training Online CEU Courses (AAPC & MMI Approved) Online Medical Coding Training & Certification Online Medical Management Training & Certification Online Medical Auditing Training & Certification Online Medical Billing Training & Certification   Terms & Conditions This St. Paddy's Day promotion does not apply to book purchases. The promotion can not be combined with any other offers or discounts. Expires March 19, 2015. Contact an MMI Representative with any...

  • NY Times: After Surgery, Surprise $117,000 Medical Bill from Doctor he Didn't Know

    Posted: Mar 10 2015

      Article pulled from The New York Times Before his three-hour neck surgery for herniated disks in December, Peter Drier, 37, signed a pile of consent forms. A bank technology manager who had researched his insurance coverage, Mr. Drier was prepared when the bills started arriving: $56,000 from Lenox Hill Hospital in Manhattan, $4,300 from the anesthesiologist and even $133,000 from his orthopedist, who he knew would accept a fraction of that fee. He was blindsided, though, by a bill of about $117,000 from an “assistant surgeon,” a Queens-based neurosurgeon whom Mr. Drier did not recall meeting. “I thought I understood the risks,” Mr. Drier, who lives in New York City, said later. “But this was just so wrong — I had no choice and no negotiating power.” In operating rooms and on hospital wards across the country, physicians and other health providers typically help one another in patient care....

  • Medicare Now Covers Lung Cancer Screening - Effective February 5, 2015

    Posted: Mar 06 2015

    Source: CMS   The Centers for Medicare & Medicaid Services (CMS) issued a national coverage determination (NCD) for Medicare coverage of screening for lung cancer with low dose computed tomography (LDCT) if certain eligibility requirements are met, effective February 5, 2015.  Detailed information regarding the eligibility requirements are available in the NCD.  Eligible radiology imaging facilities furnishing lung cancer screening with LDCT are required to submit data to a CMS-approved registry for each lung cancer LDCT screening performed.  Below is a CMS-approved lung cancer screening registry.     American College of Radiology (ACR) Lung Cancer Screening Registry (LCSR) Email: nrdr@acr.org Phone: 1-800-227-5463, extension 3535   Medicare will cover a once-yearly screening for beneficiaries who meet all of the following criteria: They are ages 55 to 77 and either smoke currently or quite smoking within the last 15 years. They are asymptomatic. They smoked for at least 30 “pack years” (averaged one pack...