Medical Necessity – Defining and Documenting to Support Billing in ICD-10-CM 2015

Topics

• How the definition of medical necessity has change d and will continue to change in ICD-10
• Medical Necessity documentation guidelines and how they may change in ICD-10
• The difference between not medically necessary vs. not covered
• Keys for using the medical necessity modifiers -GA, -GY, -GZ
• Insights on the of the Advanced Beneficiary Notification for Medicare and other payers
• Examples of the right (and wrong) way to document medical necessity
• Accessing medical necessity guidelines in ICD-10

Who should Attend

• Coders
• Physicians
• Office managers
• Billers