Advanced Search

Pediatric Coding Alert

Guidelines:

Know Medical Necessity, Improve Your Coding Accuracy

Published on Thu Jun 10, 2021

But be prepared for provider-payer disagreements. Medical necessity is one of those terms that everyone thinks they know, but no one can really define. That can create plenty of problems for coding, as differences in understanding can put your pediatrician at odds with your payers. Even so, it’s important that you know what the concept means, how it informs the [...]
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

Pediatric Coding Alert

View All