Accurate documentation to establish medical necessity is critical, especially when the definition of medical necessity vary depending on who you are – physician, biller, payer, coder or someone else in the Medicare Reimbursement function. There is a difference between clinical medical necessity and billing medical necessity. Just because YOU think it’s medically necessary doesn’t mean it’s going to be.
Join expert speaker Kim Huey, MJ, CPC, CCS-P, PCS, CPCO in this informative session to demystify and apply the definitions of medical necessity to your practice. Kim will shed light on the entire picture—from helping your physicians document appropriately to support why they did, what they did, assigning the right codes and modifiers, to appealing, to receive the payment deserved.
Additionally, she will provide links and advice on ABN forms and waivers, and also provide tips on appeal language.
Areas covered in the session:
Who should attend
Physicians, coders, billers, office managers
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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