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978-1-63527-334-2

The Coding Institute

Lock in medical necessity and get the reimbursement you deserve, free of FCA concerns.

Avoid the #1 cause of claim denials-lacking medical necessity documentation. But claim denials aren't the only thing at stake. Get medical necessity wrong and it's a "knowingly false" act punishable under the FCA-with civil penalties of up to $11,000 per medical necessity error.

Stop the madness. Get reimbursed for your services the first time-and every time-with TCI's Coding for Medical Necessity.

Hone your coding prowess with myriad examples, tools, Q&A, and expert guidance across specialties to irrefutably establish medical necessity.

We show you how to integrate best practice tasks within your clinical and business workflows and lay out everything you need to accurately verify and capture medical necessity criteria. Learn about covered and noncovered CPT® and ICD codes, frequency limitations, LCDs and NCDs policies, ruled out diagnoses, and so much more.

Get paid right the first time:

ICD-10 Coding: Cut Down on Denials, Cross Reference Unspecified Codes Use Expert Examples to Avoid These Common Coding Errors Conduct Self-Audits & Spot Coding Flaws Before Payers 7 Sure-fire Tips to Upgrade Clinician Documentation and Improve Your Claim Success Inside the E/M Code: Tackle MDM & Medical Necessity with This Tutorial Medical Review: Defend Observation & Assessment Visits with These MAC Documentation Tips Master First-Rate Documentation in the Defense of Observation & Assessment Visits Know When, How to Amend Notes Stop Losing Lab Pay Based on Z-Code Myths Provide Deep Dx Detail With 7th Character, X Placeholder Smarts Steer Clear of Upcoding to Duck the OIG's Reproach And so much more!

GenresHealth & Fitness

English edition · First published 2017 by SuperCoder.com · ISBN 9781635273342

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