Coding for Medical Necessity 2018

  • E-Book
  • Print
Available in June 2018.

Stay out of hot water—and get reimbursed for your services—with expert medical necessity documentation and coding.

Are you ready for civil penalties of up to $11,000 per billing error? Medical necessity errors, however unintentional, are being tried under the False Claims Act (FCA) as “knowingly false” acts—and losing in courts nationwide with thousands of dollars in civil penalties and exclusion from participating with Medicare.

If you aren’t prepared to pay the penalties, stay compliant and protect your revenue with TCI’s Coding for Medical Necessity 2018.  Master how to integrate best practices for correct documentation, coding, and billing across specialties – and learn how to appeal denials even when you do everything right, and payers won’t comply.  

Get solid, real-world advice with examples, tools, Q&A, and expert guidance across specialties to master documentation, coding, and billing for medical necessity – including E/M services – and avoid audits. Conquer common coding errors and conduct spot-checks and self-audits to identify problems and keep your practice safe and profitable.

Nail down medical necessity and get paid right the first time:

  • Know How to Demonstrate Medical Necessity
  • 3 Answers Clear Up Confusion About MDM Vs. Medical Necessity
  • Adhere to These Additional Rules for 99211 Success
  • Medical Necessity Key to Reporting 99212
  • Update ROS Based on Necessity, Not the Calendar
  • Your Most Pressing E/M Questions, with Answers Directly from Medicare
  • First-Rate Documentation Helps in the Defense of Observation & Assessment Visits
  • Fend Off RAC Audits, Denials with These 13 Pointers from The Experts
  • Check LCD, Payer Preference when Appealing Medical Necessity Denial
  • Choose the Right Code to Help Support Falling Patients
  • Avoid Medicare Paybacks with These Expert Examples
  • Know the Ins and Outs of the ABN Billing Process
  • Stop Losing Lab Pay Based on Z-Code Myths
  • Your Top 5 Outpatient Coding Problems...Solved!
  • Confused About Signs and Symptoms? These 4 FAQs Can Help
  • Got Radiology Coding Questions? We've Got Answers—Straight from CMS
  • And so much more!


Save time and optimize revenue - medical necessity compliance just got a whole lot easier with TCI’s Coding for Medical Necessity 2018.  

PRE-ORDER ONLINE or call 1-800-508-2582 to get your copy.
E-subscriptions for alerts and e-books are not printable.

Ratings & Reviews

Have you used this product?
Rate it now.
Write a review

Based on 1 recommendation(s).
Would you like to recommend this item?
Please Enter Details
Please enter the above characters in the box*