HFMA Region 9 Webinar: Managing Medical Necessity

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Topic Title: Managing Medical Necessity

Topic Description:
One of the key components of successful claim submission, adjudication, and revenue retention is medical necessity. Not only is medical necessity important for getting your claim paid and paid correctly, but when it comes to overpayments and audits, documentation becomes essential for keeping your money.

Learning Objectives:

• Coding methodologies
• Medicare LCD, NCD and commercial payer coverage policies
• What is an ABN and when do you need it?
• Importance of documentation for compliance
• Use of technology in medical necessity verification
• And more