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Product ID: 404360
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Fundamentals of Medical Necessity Documentation

Live Webinar
September 24, 2019
1:00 pm ET (12 pm CT, 11 am MT, 10 am PT)
1 hour 30 minutes
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Understanding medical necessity and the documentation of it is important to both the provider and payer, and it is crucial that documentation is done correctly.

It is imperative in today’s environment that there is a clear understanding of what is meant by medical necessity. It is a crucial element for a health care provider to not only be paid and to be paid correctly, but to avoid an allegation of an overpayment should Medicare, or another payer, request supporting documentation for claims submitted. Everyone in the practice or clinic needs to be educated on how important a chief complaint is and what it means to have precise documentation. Coders and billers submitting claims as well as physicians and non-physician practitioners documenting services ordered or provided all need to have a good grasp of how payers make a medical necessity determination.

This information will review recent findings from CMS contractors on what they are looking for in verifying medical necessity. With so many different types of audits that can happen, we need to be armed and ready with knowledge on how to apply these findings. It is essential for proper reimbursement but also how to determine what documentation to submit when responding to a payer’s request for records.


Live Webinar$219Register Now
Can't Attend?   Audio & Reference Manual$219Add to Cart