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- Audio Conference DVD's and CD's:
Keys to Avoiding Denials for Medical Necessity and ABN
Audio Conference Recording Price: 199.00 -
SUMMARY
Medical necessity documentation - or lack of it - is a gold mine for auditors. In many cases the claims are denied simply because the documentation doesn't support medical necessity. And don't forget, as of March 1, 2009 the old Advanced Beneficiary Notice forms, ABN-G and ABN-L, will no longer be valid. Join us for a 60-minute audio conference where you, your physicians and your coding and reimbursement staff will discover:
- Why 40% of RAC recovered payments are for medical necessity
- How to properly document medical necessity - what you MUST include
- Keys for using the medical necessity modifiers -GA, -GY, -GZ
- The ins and outs of the new ABN form (CMS-R-131) - and what additional information you need to provide
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PROGRAM BENEFITS
After this 60-minute audio conference, you will have clear guidance on how to properly document medical necessity so you can avoid unnecessary and time consuming denials. Plus, when and how to use the new ABN form (CMS-R-131).
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PROGRAM HIGHLIGHTS
- Medical Necessity Documentation
- What MUST be included to avoid being denied
- Develop templates and checklists to make sure your documentation includes what is needed
- Red flags auditors look for - and how to avoid them
- Proper documentation for medical necessity modifiers -GA, -GY, -GZ
- ABN: Documentation and Mandatory Forms
- The new ABN form (CMS-R-131) goes into effect March 1, 2009
- Your ABN will be denied if you don't include this additional information
- How the ABN should be delivered and what has to be included
- Streamline Your Medical Necessity and ABN Process
- Creating your Medical Necessity and ABN checklist
- Get ABNs for the diagnosis codes that are routinely denied
- Avoid falling into the "blanket" ABN prohibition
- Live Question and Answer Session - Have your specific real-world Medical Necessity and ABN questions addressed!
- Medical Necessity Documentation
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SPEAKER
Annette Grady, CPC-Ortho, CPC-FP, CPC-I, CPC-H, CPC-P, CCS-P, FCS, PCS agrady@bis.midco.net, Independent Healthcare Advisor and Instructor, TCN Senior Orthopedic Coder and Compliance Auditor, Past AAPC Officer - National Advisory Board 1998-2007
- Annette has over 30 years in Healthcare Coding and Reimbursement, she is the former Director of Reimbursement for a large orthopedic group and consultant for a large Midwestern consulting/CPA firm.
- She has proficiency in CPT, ICD-9CM and HCPCS coding for Orthopedics, ASCs, Spine, Plastic/Reconstructive, Hand and Family Practice.
- Annette has performed many surgery and E/M chart review audits. She is a well known author and has published multiple articles in Outpatient Surgery Magazine, AAOS-bulletin, NASS Spineline, Physician Practice Management and many other publications.
- In addition, Annette is a National Speaker for various organizations:, AAPC, BONES Society, AmSurg ASC Corp, ND MGMA, UND Medical School, Montana Coding Focus Group and many State Medical Societies.
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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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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. Audio recordings will be received approximately three weeks after the live conference.
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