Medical necessity denials can be very frustrating. In this webinar, we will discuss tools that can be used to educate the physicians and staff on what may or may not be considered medically necessary. We will begin by looking at Medicare publications that can be used for medical necessity guidance.
Also, we will discuss commercial payer policies that have recently changed. Thorough documentation is a necessity to validate your medical necessity.We will discuss where to be the most specific in the documentation to accomplish this goal. Lastly, we will discuss the importance of reporting to capture medical necessity denials.
Why should you Attend: Being keenly aware of medical necessity guidelines is very 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's and payer policies. We will discuss comparative billing reports and prepayment review.
Areas Covered in the Session: