Is my Documentation meeting Medical Necessity?
OVERVIEW
This insightful session will give you clarity on medical
decision making versus medical necessity. What things are auditors
looking to find when your records are being reviewed? How can I work with
my clinician/physician to improve his/her documentation? Medical
necessity means more than just "fluff" in the medical record.
We will discuss how to justify the physician's care plan and avoid take backs
from third party payers.
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| Medical Necessity |
WHY SHOULD YOU ATTEND
It is vital for the entire care team to take part in adapting to
the rules that we must follow when it comes to justifying the medical necessity
of a visit or encounter. This is relevant to low level visits as well,
ex: 99211. What is CMS' opinion of a low level visit and the
medical necessity that must be stated in the medical record to justify the
billing? Who can provide this level of care? What about services
such as blood pressure checks, allergy injections, Coumadin clinic? How
do I validate my notes for the auditors? It is imperative that we work
together to improve the outcome of patient care.
AREAS COVERED
We will look at the relevance of each part of an evaluation
code. How does the medical decision making tie in with medical necessity?
Areas of concern are copying, pasting, and cloning in the medical record.
Addressing the history of the patient and the chief concern for the
service. This Webinar is particularly useful for those wishing to
maximize their revenue, see an older, sicker population, or currently report a
high level of level IV and V office visit codes. How am I conveying to
the payer that my services were in fact necessary? Is this being told on
my claims reporting?
Learn how to bullet-proof your notes/medical records and be
armed in case of an audit or prepayment review. Strategies discussed on
how to selectively tell the story of the patient and how that leads to optimal
reimbursement.
LEARNING OBJECTIVES
Learn how to document the Medical Record to support Medical
Necessity based on actual examples. Gain insight from this expert auditor to
help you avoid common errors that invariably trigger audits. Examine the
challenges and pitfalls of using electronic medical record templates and
understand how that information is documented from an auditor’s point of view.
Clarify erroneous misconceptions surrounding Documentation Guidelines and
receive an overview of Evaluation and Management Services as they relate to
medical necessity.
WHO WILL BENEFIT
All participants that are involved with Patient Care.
Ranging from the Appointment Staff to the Clinical Areas of a Practice or
Facility. With prior approvals and precepts being on the rise, it is
critical that each member of the work force understand how their role can
impact medical necessity.
For more detail please click on this below link:
Email: support@trainingdoyens.com
Toll Free: +1-888-300-8494
Tel: +1-720-996-1616
Fax: +1-888-909-1882
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