1073358
Expert
I know the 2 are different. I keep hearing that the over arching component is medical necessity. My question is, how to you "score" it. How do you determine if medical necessity is met? What makes something mecically necessary at a level 3, but not a level 4 for example...???????
I have seen where a note will audit per EM guidelines to a level 3 or 4, but have seen it coded lower because medical necessity not met for that level. Based on what???? I am really confused at that.
I have seen where a note will audit per EM guidelines to a level 3 or 4, but have seen it coded lower because medical necessity not met for that level. Based on what???? I am really confused at that.