Coding for Medical Necessity 2018

Coding for Medical Necessity 2018
ISBN: 978-1-63527-411-0
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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:

  • 3 Answers Clear Up Confusion About MDM Vs. Medical Necessity
  • Refer to Status Codes, Med Necessity, When Billing These Codes
  • Check LCD, Payer Reimbursement Policies When Appealing Medical Necessity Denial
  • Know How to Prove Necessity for Modifier 25
  • Bust These E/M Coding Myths Once and for All
  • Medical Necessity Can Trump CCI
  • Three Questions Show the Appropriate Use of Modifiers With Procedures
  • Conquer E/M Coding for Increased Revenue
  • Stop Losing Lab Pay Based on Z Code Myths
  • Update ROS Based on Necessity, Not the Calendar
  • Keep the Feds Off Your Back With 3 Tips to Fight Fraud
  • Fend Off RAC Audits, Denials With These 13 Pointers From the Experts
  • Getting Denied? Pay Attention to Procedure/Diagnosis Linkage
  • Get Dx Coding Right for Urine Testing Medical Necessity
  • Familiarize Yourself With These Clinical Documentation Improvement Concepts
  • Incorrect Codes, Poor Notes, and Setting Debacles Add to E/M Fails
  • Your Top 5 Outpatient Coding Problems...Solved!
  • Medical Necessity Key to Reporting 99212
  • Save This Consult Rules and Regs Reminder
  • Pay Attention to Modifier Indicators Included With These Numerous Edits
  • Know How and When to Apply the “Nurse’s Code”
  • Probe & Educate Round 2 Denied Two-Thirds of Claims Reviewed
  • Test Your Medical Necessity Coding Skills
  • 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.  

ORDER ONLINE or call 1-800-508-2582 to get your copy.
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