Medical Necessity is one of the biggest challenges healthcare professionals face because the Medicare’s definitions of medical necessity varies depending on who you are – physician, coder, biller, payer. In addition, denials related to medical necessity have increased enormously even for legitimate services because of the burdensome appeal claims.
This session by expert speaker Kim Garner-Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO will explore and apply the definitions of Medical Necessity to your medical practice. From helping your physicians document appropriately to support why they did, what they did, to assigning the right codes and modifiers, to appealing to receive the payment deserved. You will learn how to manage the change to ICD-10-CM and maintain medical necessity documentation.
Additionally, you will get links and advice on ABN forms and waivers; tips on appeal language; and how to manage the change to ICD-10-CM without jeopardizing medical necessity documentation.
Who should attend?
Physicians, coders, billers, office managers, practice managers, revenue cycle managers, administrators
Kim Garner-Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, COC, is an independent coding and reimbursement consultant, providing audit, training and oversight of coding and reimbursement functions for physicians.
Kim completed three years of pre-medical education at the University of Alabama before she decided that she preferred the business side of medicine. She completed a bachelor’s degree in health care management and went on to...
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