Advanced Search

ED Coding and Reimbursement Alert

You Be the Coder:

Know How to Demonstrate Medical Necessity

Published on Wed Oct 04, 2017

Question: In your previous issue, there was an article about how the OIG downcoded a claim in which the ED made the decision to admit a patient to the hospital ("This ED Error Is Among CMS's Examples of How Not to Report Claims"). In the article, you noted that the OIG determined there was no medically necessary reason for that admission. [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

ED Coding and Reimbursement Alert

View All