Meeting Payer Document Requirements When Submitting Health Information

$149.00

SKU: 410791

Description

Make sure your documents are compliant when submitting health information to ensure maximized quality of care for your patients.
According to section 1862(a)(1)(A) of the Social Security Act, Medicare will not cover services that are not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member. Private payers and Medicare Advantage plans have their definitions of medical necessity. Not only do you want to make sure your documentation is compliant so that you are protected from false claims, but you also want to maximize revenue and improve the quality of care that your patients receive. This material will review how these go handinhand and what your staff can do to help improve your practice as well.

Date: 2023-07-12 Start Time: 1:00 PM ET End Time: 2:05 PM ET

Learning Objectives

* You will be able to describe how to ensure your documents are compliant.

* You will be able to discuss how documentation improvement can improve revenue and quality of care.

* You will be able to explain payer guidelines.

* You will be able to identify what your staff can do to help improve your practice.

Clinical Documentation Improvement
• Compliance
• Revenue
• Quality of Care

Payer Guidelines
• NCD/LMRP
• NCCI Edits
• ABN and Private Pay Patients

Putting It in Practice
• Front Desk
• Ancillary Staff
• Providers

ACHE ,HFMA ,Additional credit may be available upon request. Contact Lorman at 866-352-9540 for further information.

Merrilee Severino, CPC, CRC, CMMP, CPCS-Your Business Medic