Training Options Duration: 75 Minutes
Thursday, April 6, 2017 | 11:00 AM PST | 02:00 PM EST
Overview: This webinar will address the various methods of ensuring appropriate documentation to identify Medical Necessity for services provided. An area that is often over looked is the significance of the medical coding from Hospitalization to Home Care and the skilled nursing facility between. With the new coding guidelines for ICD-10,our use of documentation is essential,as we are required to support the services we provide with not only the correct coding but the documentation to match the coding.
We will look at how identification of correcting coding will allow our nursing, rehab and support staff to correctly document the services provided. By ensuring that the documentation written by your staff matches the Diagnosis selected it will ensure that medical necessity of services is demonstrated. By looking at a how our staff is completing documentation, at the wording used and supportive documentation from all department, we can target areas of weakness in documentation and continue to improve in areas that are functional but not optimal. All CMS guidelines and regulation are based on the definition of "Medical Necessity" IF the medical need for the services rendered is not present or identified ,services can and will be denied. If Nursing relies solely upon therapy to demonstrate medical need of services or vice versa, this creates an opening for the denial of services.
When Medical Necessity is demonstrated then services are optimized. When departments documentation is supportive of the medical necessity of the services being provided, the risk for denial of services is significantly reduced.
Why should you Attend: Documentation of Medical Necessity has always been important but as the intensity of audits continues, with all aspects of healthcare looking to reduce misuse of healthcare funding it has become even more important.The OIG has been looking at Hospitals, Skilled Nursing facilities and Home Health Care to determine if admissions /readmissions and stay at such facilities are warranted and the area that they find to be most lacking is the documentation of Medical Necessity. Managed Care companies will deny coverage based on the lack of Medical Necessity.
Without appropriate documentation your organization is at risk for loss of payment or reclamation of payment without appropriate documentation. This will provide you with the information needed to support your efforts to document and demonstrate Medical Necessity of services
Areas Covered in the Session:
How is Medical Necessity Defined
Documentation needed to demonstrate Medical Necessity
Rational behind documentation supporting coding
Necessity for documentation to show progression of medical changes
Interdepartmental documentation to show medical need for services
Who Will Benefit:
Director of Nursing
Director of Rehab
Laura Hargraves MS CCC-SLP RAC-CT, has been working in virtually all critical facets of the HealthCare Industry for the past 28 years. A core component to her education and training workshops has been providing rigorous compliance, oversight of all documentation and the understanding of, and adherence to, ever-changing guidelines. A key attribute of Laura's is her ability to take confusing and complex issues and present them in a clear, concise and real-world manner that is understood and retained by participants. Laura has a background in education, enabling her to maximize her ability to clearly communicate, and participants to comprehend the topics presented.
Phone No: 1-800-385-1607