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- Webinar DVD's and CD's:
Documenting Medical Necessity: What Medicare and Payors Require Now
Webinar Recording Price: 199.00 (U.S. Dollars) -
SUMMARY
Medical necessity documentation - or lack of it - is one of the most frustrating and common reasons for claim denials in healthcare today. In many cases, the claims are denied simply because the documentation doesn't clearly support medical necessity. Join us for a 60-minute webinar where you, your physicians and your coding and billing staff will discover:
- Medical Necessity documentation guidelines - what MUST be included
- Keys for using medical necessity modifiers -GA, -GY, -GZ
- Limiting liability: When to issue, or not issue ABNs and HINNs
- Not medically necessary vs. not covered - what's the difference
- Examples of the right (and wrong) way to document medical necessity
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PROGRAM BENEFITS
During this 60-minute webinar, you will discover CMS' documentation guidelines for establishing medical necessity - in plain English - so you can get reimbursed without frustrating and time-consuming denials.
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PROGRAM HIGHLIGHTS
- Medical Necessity Documentation - What CMS & Payors Require
- Proving medical necessity - what MUST be documented
- Defining reasonable, necessary and appropriate - in plain English
- Who can and can't document medical necessity
- Using medical necessity modifiers - What you need to know
- Documentation Checklist: From Initial Encounter to Filing a Claim
- Keys to creating your Medical Necessity checklist
- Start with nature of presenting problem - what details are needed
- How to make sure documentation supports your medical decision making
- Examples of the right and wrong way to document medical necessity
- Tying up the Loose Ends - What to Watch For
- How to tell when certain condition codes and modifiers apply
- When is an ABN and HINN needed - can you bill without them?
- Common medical necessity targets and how to avoid denials
- Payor policies and claim denials - what coders need to know
- Live Question and Answer Session - Have your specific real-world Medical Necessity documentation questions addressed!
- Medical Necessity Documentation - What CMS & Payors Require
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SPEAKER
Caral Edelberg, CPC, CPMA, CCS-P, CHC, CAC President, Edelberg Compliance Associates Baton Rouge, Louisiana
- Caral is a widely recognized expert on emergency department (ED) and Hospitalist revenue cycle management, coding and compliance.
- She is currently president of Edelberg Compliance Associates, specializing in emergency, hospitalist, ambulance, urgent care, and wound care medicine coding and compliance in Baton Rouge, Louisiana. She has personally managed coding, billing and compliance improvement projects in hundreds of facilities across the country.
- Caral has dual coding certifications from the American Health Information Management Association (AHIMA-CCS-P) and the American Academy of Professional Coders (AAPC-CPC and CPMA). She is also certified in Healthcare Compliance (CHC) through the Healthcare Compliance Association (HCCA) and a Certified Ambulance Coder (CAC).
- She is a three-term member of the AAPC national advisory board and is past President of the Greater Baton Rouge chapter of American Academy of Professional Coders.
- Caral authored two volumes of Procedure Coding for Emergency Medicine published by ACEP, co-authored the Emergency Medicine Study Guide and Emergency Medicine Specialty Examination for the Advanced Board of Medical Coding (ABMC); authored the Emergency Medicine Study Guide and Emergency Medicine Competency Examination published for Ingenix/AAPC; served as author/editor of the Emergency Department Answer Book published by United Communications; and co-authored the current Emergency Medicine Study Guide and Competency Examination for the AAPC
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AAPC CREDITS
This program has prior approval by the American Academy of Professional Coders (AAPC) for 1 continuing education hour. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor. Additional information on obtaining your CEU will be included with your purchase.
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AHIMA CREDIT
This program has been approved for 1 continuing education unit for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).
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PROGRAM MATERIALS
The speaker's PowerPoint presentation slides are included with your audio recording purchase. All materials are accessible through the Internet and can be downloaded as a PDF file.
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PRICING
$199.00 for audio conference recording (CD or DVD) and program materials.
This is an outstanding program and therefore we offer purchasers a Money Back Guarantee. We are so confident that you will find the conference valuable that we offer a 100% money back guarantee from now until 30 days after the audio recording is shipped, making this a risk-free investment. If you should have any concerns, comments, or refund requests with this conference, please contact our customer service representatives at 800-964-6033. Audio recordings will be received approximately three weeks after the live conference.
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- Webinar DVD's and CD's:
