Inside Angle

From 3M Health Information Systems

Tag: medical necessity

Divya VermaDivya Verma

Blog post

Medical necessity edits: Example of a limitation

Aug. 21, 2023 / By Divya Verma, RHIA

A recent Office of Inspector General (OIG) report on Medicare’s utilization of one of the highest paid molecular pathology genetic tests caught my attention. You can read a summary of […]

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Focus on E/M services: Medically appropriate history and exam

Dec. 4, 2020 / By Jean Jones, CPC

So far in our Evaluation and Management Services blog series, we have gone over changes related to medical decision making (MDM), specifically changes to the first, second, and third elements. […]

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The importance of medical necessity compliance: Recent actions by the U.S. Attorney’s Office and the OIG

July 16, 2018 / By Barbara Aubry, RN

I’ve been talking about this for years. I still see folks who don’t think compliance with medical necessity polices is critical. Believe me, I understand human nature; noncompliance can be […]

Medical professional and consultant looking at a laptop

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Mammograms and Modifier 52

Feb. 12, 2018 / By Barbara Aubry, RN

In late December 2017, I was asked by a colleague for my opinion on a customer’s inquiry about modifier 52 and its use in mammograms. CPT® modifier 52 represents a […]