Outpatient Coding and Coverage Issues: Medical Necessity Overview
This course defines important components of Medicare rules and addresses the ways that coverage determinations are made. An understanding of these determinations and of how physician documentation helps prove medical necessity will help to ensure that claims will not be rejected because of documentation errors. This course may feature information on the use of medical and procedural codes, including CPT® codes as they relate to the subject matter presented. The goal of this course is to give revenue cycle and coding professionals an overview of Medicare’s medical necessity rules and guidelines.
This course defines important components of Medicare rules and addresses the ways that coverage determinations are made. An understanding of these determinations and of how physician documentation helps prove medical necessity will help to ensure that claims will not be rejected because of documentation errors. This course may feature information on the use of medical and procedural codes, including CPT® codes as they relate to the subject matter presented. The goal of this course is to give revenue cycle and coding professionals an overview of Medicare’s medical necessity rules and guidelines.
