Understanding Medical Necessity & How It Ties Into Correct Coding

Medical necessity continues to be the driver to many targeted actions.

Quality, payment, and patient engagement can all be tied into meeting medical necessity. Determining what is included, how it is determined, and how to strategically meet all the requirements is key for optimal revenue and CDI efforts.

Medical policies that determine medical necessity can be tricky to navigate. Most often the intent of the policy is ignored for the codes listed. This leaves providers frustrated when services are still left uncovered. Clinical indicators will help you succeed and hit all parameters needed for a healthy practice.

In this webinar, Rhonda Buckholtz, Chief Compliance Officer of CVGlobal, will discuss:

  • Key determinations for medical necessity
  • Time saving documentation techniques
  • Understanding how clinical indicators come into play
  • And more!

This webinar will provide valuable insights for:

  • Physicians
  • Administrators
  • Medical coders
  • And others

About the Speaker

Rhonda Buckholtz
Chief Compliance Officer for CVGlobal

Rhonda has more than 25 years of experience in healthcare, working in the management, reimbursement, billing, and coding sectors, in addition to being an instructor. She was responsible for all ICD-10 training and curriculum at AAPC.