Coders and billers from all settings—physician practice employees, outpatient and inpatient hospital staff, and others—will find JustCoding’s Guide to Medical Necessity Denials, by Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, CDIP, COBGC, to be invaluable as they seek to master coding concepts related to medical necessity denials and report compliant codes for the services their facility’s physicians provide.
This handbook will help users: - Comprehend the basics of medical necessity, including why it’s required and how requirements may change by payer
- Understand changes to medical necessity requirements as a result of ICD-10, MACRA, and other recent federal regulations
- Learn how to head off potential coding issues before they arise, helping reduce denials and reimbursement delays
- And more!
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