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 hand-in-hand and what your staff can do to help improve your practice as well.
Agenda
Faculty
Merrilee Severino, CPC, CRC, CMMP, CPCS
Your Business Medic
- Owner of Your Business Medic
- Former senior consultant with CLA, LLC
- More than 30 years of experience in credentialing, billing, and practice management
- Has spoken for The Coding Institute, Physicians Practice magazine, PAHCOM, AAPC, POMAA, BC-Advantage magazine, and has been interviewed in many publications, including the book Paper Kills 2.0, forward by Newt Gingrich and Tom Daschle, available at healthtransformation.net
- Recognized as one of this nation’s healthcare industry experts and contributes to Billing Coding Advantage magazine as part of their editorial board
- Experience as a certified coder with a former role as an independent coding officer for a client under integrity agreement with the OIG
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