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. 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, allerg...