Role of Medical Necessity in Medical Coding and Documentation

Not unlike police officers becoming familiar with the vehicle code or penal code in order to effectively do their jobs, those involved with insurance or medical fraud must understand the complexities behind medical bill coding. More importantly, the nexus between the codes used by a provider and the medical necessity of the treatment provided can help identify medical fraud. The course will center on identifying medical necessity through the relationship of billing codes, e.g. Current Procedural Terminology, ICD-9 CM/ICD-10, and HCPCS, with the medical record.

Medical
Location: Big Sur Date: April 9, 2020 Time: 3:00 pm - 5:00 pm Beth Howard-Stalker Bill Reynolds