Medical Necessity of Outpatient Services
April 6, 2020 at 11 AM
Does your hospital track and trend your denials due to lack of medical necessity? What processes does your organization have on the “front end” to identify when a service is being scheduled that medical necessity has not been met? Does the hospital’s legal medical record contain all documentation requirements per a National Coverage Determination (NCD) or a Local Coverage Determination (LCD)? We will discuss what processes and procedures a hospital should have.
Tammy Moss, RHIT, CCS, COC, CIRCC