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

MMI Updates & Announcements

  • Job Opening - Medical Billing & Coding Specialist in Marietta, GA

    Posted: Aug 09 2016

    Medical Billing & Coding Specialist Location: Marietta, GASalary: $16-18/hourType: Contract to Full   JOB SUMMARY:   A large pain management clinic in Marietta has an immediate need for a Certified Medical Biller/Coder. This position will last 60-90 days and can start immediately (potential to become full-time).   JOB-RELATED EXPERIENCE:  • Must be CERTIFIED in Medical Billing and Coding• Knowledge of ICD/CPT codes• Experience working in a high volume medical facility• Ability to learn new software programs quickly• 2+ years in Medical Billing and Coding    PLEASE SEND RESUME TO: Email with "Billing and Coding Referred by MMI" in the subject line for immediate consideration. 

  • [Home Health] New Program for Evaluating Payment Patterns Electronic Report (PEPPER) Available

    Posted: Aug 03 2016

    A new Program for Evaluating Payment Patterns Electronic Report (PEPPER) for Home Health Agencies (HHAs) is available through the PEPPER Resources Portal. CMS contracts with TMF to produce and distribute these free reports that summarize HHA claims data statistics for areas that may be at risk for improper Medicare payments. HHAs can use the data to support internal auditing and monitoring activities. Compare your Medicare billing practices with other HHAs in the nation, Medicare Administrative Contractor jurisdiction, and state. The report includes: • Average case mix • Average number of episodes • Episodes with 5 or 6 visits • Non- Low-Utilization Payment Adjustment (LUPA) payments • High therapy utilization episodes • Outlier payments For More Information: •, including a sample HHA PEPPER • Distribution Schedule: How to Get Your PEPPER webpage • HHA User Guide Submit questions to the Help Desk

  • [Announcement] Hospital IPPS and LTCH PPS Final Rule Policy and Payment Changes for FY 2017

    Posted: Aug 03 2016

    Originally Published in MLN Connects On August 2, CMS issued a final rule to update FY 2017 Medicare payment policies and rates under the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS). The final rule, which would apply to approximately 3,330 acute care hospitals and approximately 430 LTCHs, would affect discharges occurring on or after October 1, 2016. The final increase in operating payment rates for general acute care hospitals paid under the IPPS that successfully participate in the Hospital Inpatient Quality Reporting (IQR) Program and are meaningful Electronic Health Record (EHR) users is approximately 0.95 percent. This reflects the projected hospital market basket update of 2.7 percent adjusted by -0.3 percentage point for multi-factor productivity and an additional adjustment of -0.75 percentage point in accordance with the Affordable Care Act. This also reflects a 1.5 percentage point reduction for documentation and coding required by...

  • Medicare Diabetes Prevention Program Webinar - CMS

    Posted: Aug 01 2016

    On July 7th, 2016, the Centers for Medicare and Medicaid Services (CMS) announced a proposal to expand the Diabetes Prevention Program to Medicare beneficiaries beginning on January 1, 2018. The Diabetes Prevention Program is a structured lifestyle intervention that includes dietary coaching, lifestyle intervention, and moderate physical activity, all with the goal of preventing the onset of diabetes in individuals who are pre-diabetic. The clinical intervention consists of 16 intensive “core” sessions of a curriculum in a group-based, classroom-style setting that provides practical training in long-term dietary change, increased physical activity, and behavior change strategies for weight control. After the 16 core sessions, less intensive monthly follow-up meetings help ensure that the participants maintain healthy behaviors. The primary goal of the intervention is at least 5 percent average weight loss among participants. Upcoming Webinar The Center for Medicare & Medicaid Innovation (CMS Innovation Center) will host a webinar to discuss various aspects of...

  • [Announcement] Inpatient Rehabilitation Facility (IRF): Final FY 2017 Payment and Policy Change

    Posted: Jul 29 2016

    On July 29, CMS issued a final rule (CMS-1647-F) outlining FY 2017 Medicare payment policies and rates for the Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) and the IRF Quality Reporting Program (QRP). CMS is updating the IRF PPS payments for FY 2017 to reflect an estimated 1.65 percent increase factor (reflecting an IRF-specific market basket estimate of 2.7 percent, reduced by a 0.3 percentage point multi-factor productivity adjustment and a 0.75 percentage point reduction required by law). An additional approximate 0.3 percent increase to aggregate payments due to updating the outlier threshold results in an overall estimated update of approximately 1.9 percent (or $145 million), relative to payments in FY 2016. • No changes to the facility-level adjustment • Rural adjustment transition: Continue year two of the phase-out of the 14.9 percent rural adjustment for IRF providers in areas that were designated as rural and changed to urban under...