ABN and Medical Necessity Essentials

Event Information
Product Format
Prerecorded Event
Deborah Grider, CPC-EMS, CPC-H, CPC-P, CCS-P
Conference Date
Tue, Mar 17, 2009
60 Minutes
Product Description

Don't let latest ABN form requirements catch you off guard.

Have you been adhering to the new Advanced Beneficiary Notice standards that went into effect last June? If you don't have a firm grasp of the details, it’s all too easy to lose your practice's hard-earned payments to medical necessity denials. And you can’t afford that in today’s healthcare world where every penny of reimbursement counts. Join medical coding pro Deb Grider, CMA, CPC-EM, CPC-I, CPC-H, CPC-P, CCS-P, for an overview of ABN and medical necessity know-how during this 60-minute teleconference. You'll walk away with insider tips and helpful strategies that will help you secure every dollar your practice deserves.

Topics covered:

  • Medical necessity step-by-step: How to determine whether a service is medically necessary -- without any surprises.
  • Finally -- a clear understanding of FLP, LOL, RR and BNI meanings.
  • Noncovered vs. medically necessary services: Learn the details that make the difference.
  • 3 Circumstances in which you MUST use ABN forms.
  • What you can -- and can’t -- do when a patient won't sign.
  • Don’t use ABNs in these situations. Find out when -- and why.
  • 3 field-tested tips to obtain a valid ABN form.
  • Sample ABN: Customize an ABN to benefit your practice.
  • Secret strategies for using "medical necessity" modifiers GA, GY and GZ.
  • ABN case study walk-through: Real life scenarios and how to deal with them.
  • Can't-miss information about HCFA-1500 and UB-92 form completion.
  • Simple tips for creating an effective ABN / medical necessity checkpoint process.

Have additional questions? You have the floor with the speaker during an interactive Q&A.

Who should attend? Providers in all specialties that issue ABN forms and their office staff.

Your registration includes:

  • Flexible enrollment. Scheduling conflict? No problem. This session is also available on CD.
  • Expert answers to your tough questions during the interactive Q&A period.
  • Complimentary attendee package, including the speaker's complete presentation handouts. Keep this quick reference tool close by for future use.
  • One low price for all the staff you can stuff into a conference room.

Order Below or Call 800-874-9180 Today

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About Our Speaker

Deborah Grider - Pulmonology Coding Expert

Ms. Grider is a Senior Manager with Blue and Co, LLC with over 30 years of experience in coding, reimbursement, practice management, billing compliance, accounts receivable, revenue cycle management, and compliance across many specialties. Her specific areas of expertise include medical documentation reviews, accounts receivable analysis and coding and billing education. She holds the following certifications: CPC, CPC-I, CPC-H, CPC-P, CPMA, CEMC, COBGC, CPCD, CCS-P, and CDIP. She is an...   More Info
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