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Ophthalmology and Optometry Coding Alert

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Are You Confusing Medical Necessity With Medical Decision-Making?

Published on Wed Sep 12, 2018

Eye care practices that make this error could see an uptick in claim denials. You’ve heard the term “medical necessity” hundreds of times during your coding career, but do you really know how it impacts your revenue? The answer may surprise even the most seasoned coders. The terms “medical decision-making” (MDM) and “medical necessity” are sometimes used interchangeably, but there [...]
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