Medical Necessity Documentation for Pain Management

Event Information
Product Format
Prerecorded Event
Amy Turner, RN, BSN, MMHC, CPC
60 minutes
Product Description

All You Need to Know on Local Coverage Determination, Payer Policies & Medical Necessity Documentation.

Being keenly aware of medical necessity guidelines is important in the financial health of a practice. Many practitioners are unaware of the input they can have in the creation of Local Coverage Determination (LCD) and payer policies.

Join this session by expert speaker Amy Turner, RN, BSN, MMHC, CPC, to get an overview of the medical necessity documentation for pain management. With this session, you will learn how to read an LCD policy. Amy will review the types of LCD policies and will discuss the difference between national coverage determination and local coverage determination.

In addition, the session will provide you a list of items to document for best medical necessity documentation, and will discuss what to look out for in payer policies.

Session Highlights:

  • Difference between national coverage determination and local coverage determination
  • Documentation needs for urine drug screening
  • UDS risk assessment
  • Stages of LCD policies and influence of physicians on these policies
  • Documentation needs to gain prior authorization for diagnostic imaging, procedure and medication precertification
  • Proper documentation of moderate sedation
  • Sufficient documentation of procedure results, diagnostic imaging results and lab results

Who Should Attend?

Anyone interested in medical necessity guidelines, including:

  • Billers
  • Coders
  • Office manager
  • Physicians

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About Our Speaker

Amy Turner

Amy Turner, RN, BSN, MMHC, CPC is the director of billing compliance and business development for CE Medical Group.  She holds a bachelor of science in nursing and master of healthcare management from Vanderbilt University in Nashville.  Amy’s unique combination of clinical experience and coding and billing offers insights that speak well to both the clinician and the billing and coding expert.

Amy has...   More Info
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