- Audio Conference DVD's and CD's:
Medical Necessity Documentation in the ED: Get Paid, Not Denied
Audio Conference Recording Price: 199.00 (U.S. Dollars)
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SUMMARY
Medical necessity documentation - or lack of it - is one of the most
common reasons for claim denials in the Emergency Department. In many
cases the service is medically necessary but the documentation doesn't
support it. Join us for a 60-minute audio conference where you and your
colleagues will discover:
- How to properly document medical necessity - what MUST be included
- Keys for using the medical necessity modifiers -GA, -GY, -GZ
- Limiting liability: Should you issue ABNs and HINNs
- Best ways to get ED Physicians, NPPs, and Hospitalists to stay on top of Medical Necessity documentation guidelines
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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.
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PROGRAM HIGHLIGHTS
- Medical Necessity Documentation in the ED
- What MUST be included to minimize denials
- Who is responsible for medical necessity documentation in the ED
- Using medical necessity modifiers -What you need to know
- Limiting Financial Liability: ABNs and HINNs
- Should the ED issue an ABN or HINN - Clear up the confusion
- Overview of ABNs and EMTALA - What you need to know
- Yes you can limit liability and still comply with EMTALA - Here's how
- Streamline Your Medical Necessity and LOL Process
- Keys to creating your Medical Necessity checklist
- Examples of documentation that is often denied - and how to avoid it
- Best ways to get ED staff to adhere to medical necessity guidelines
- Nature of Presenting Problem and Medical Decision Making: Make sure you're meeting medical necessity guidelines
- Live Question and Answer Session - Have your specific real-world ED Medical Necessity documentation questions addressed!
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SPEAKER
Caral Edelberg, CPC, CCS-P, CHC
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 and hospital 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.
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Caral has dual coding certifications from the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC). She is also certified in Healthcare Compliance (CHC) through the Healthcare Compliance Association (HCCA) and an active member of the Association of Clinical Documentation Improvement Specialists (ACDIS).
- She is a three-term member of the AAPC national advisory board and is currently the President-Elect 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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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.