Definitions of medical necessity vary depending on who you are – physician, coder, biller, payer. Join this session, where coding and reimbursement expert Kim Huey will explore and apply the definitions to the medical practice. From helping your physicians document appropriately, to support why they did, what they did, from assigning the right codes and modifiers, to helping you receive the payment you deserve.
You will learn how to define and explain the concept of medical necessity, how to access medical necessity guidelines, the importance of Advanced Beneficiary Notifications and waivers, and correct use of modifiers to ensure that patients can be billed as appropriate. You will have fewer medical necessity denials, and more effective appeals.
This session will cover:
Who Should Attend
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...
More Events By The Speaker