Understanding and determining medical necessity can be very complex for you, whether you’re a physician, clinician, coders, or biller. That’s because the definitions of medical necessity will vary depending on who you are. And the fact that the definitions and guidelines keep changing makes it critical for you to stay on top of the changes so that you don’t face payment denials at every turn.
Catch up on the latest medical necessity documentation guidelines in this audio conference by coding and reimbursement expert Kim Huey. Find out how the definition of medical necessity has changed; the keys for using the medical necessity modifiers -GA, -GY, -GZ; and the difference between not medically necessary vs. not covered. Huey will show you how to use the Advanced Beneficiary Notification for Medicare and other payers, and provide examples of the right (and wrong) way to document medical necessity.
After attending this session, you will be able to confidently access medical necessity guidelines in ICD-10. You will understand the new diagnosis coding guidelines, i.e. how to document and code to paint the accurate picture of the patients you are treating. You will know how to clearly and directly explain medical necessity to physicians, patients, and payers.
Huey’s 35 years of experience in healthcare and Master of Jurisprudence in Health Law helps her to analyze issues and advise clients on new processes and policies they need to implement. So be sure to attend this session and leverage her hands-on experience so that you face fewer medical necessity denials and make more effective appeals in 2019.
This session will bring you up to speed with:
Who Should Attend
Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.
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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