Master coding concepts related to medical necessity and report compliant codes for your services.
Revenue loss, rework, payback demands—how much are medical necessity errors costing your practice? And that’s to say nothing of potential civil penalties. Get medical necessity wrong and it’s considered a “knowingly false” act punishable under the FCA.
Stay liability-free and get reimbursed for your services with reliable medical necessity know-how. AAPC’s Coding for Medical Necessity Reference Guide provides you with step-by-step tutorials to remedy the range of documentation and coding issues at the crux of medical necessity claim errors.
Learn how to integrate best practices within your clinical processes—including spot-checks and self-audits to identify problems. Benefit from real-world reporting examples, Q&A, and expert guidance across specialties to master coding for medical necessity.
Learn how to lock in medical necessity and keep your practice safe and profitable:
- Understand the 2023 E/M code and guideline changes
- Avoid Medical Necessity Errors with CERT Smarts
- Rules to Improve Provider Documentation
- Denials? Pay Attention to Procedure/Diagnosis Linkage
- Nail Down the Ins and Outs of Time-based Coding
- Expert Guidance to Fend Off RAC Audits and Denials
- Beat E/M Coding Confusion with Payer Advice
- Improve Your ABN Know How with This FAQ
IMPORTANT NOTE: If you already have the first or second edition of Coding for Medical Necessity Reference Guide, you will want to upgrade to the third edition, which includes updated ICD-10-CM and CPT® codes, updated E/M information including insights on 2023 guideline changes, and updated CMS references at the back of the book.
With certain exceptions, products purchased from AAPC may be returned for a refund. Products must be submitted for a return within 30 days from the purchase or shipment date to be eligible for a refund. They must also be unopened and in resellable condition. Returned products are subject to a $5 restocking fee per item. Shipping charges are nonrefundable. Refund requests may be submitted in writing or verbally to AAPC.
Product-specific Return Policies
Refunds will not be issued for AAPC Membership, exams, webinars, or On Demand events.
Due to immediate electronic access, refunds or extension will not be issued for Online Practice Exams and Online Area of Study
Workshop registration is refundable, if you cancel at least one week prior to the workshop you may receive a refund less the $25 cancellation fee. In the event that a cancellation is received less than one week prior to the workshop, no refund will be given. You may transfer your registration to the on-demand version of the workshop or you may have a credit for a future workshop.
Conference registration is refundable, with varying fees and deadlines. See the specific conference web page for further details. Hotel cancellations are also subject to varying fees and deadlines; the specific conference web page will have further details for hotel cancellations as well.
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E/M Online Training, and Online Exam Reviews that have not been accessed are refundable within 30 days of purchase date. No refund will be issued on any exam or training/review tool that has been accessed, viewed, or partially completed.
Refunds will not be issued for AAPC Membership, exams, webinars, or On Demand events.:
Due to immediate electronic access, refunds or extension will not be issued for Online Practice Exams and Online Area of Study
Returning an individual book that was purchased in a bundled package will invalidate the bundled discount. All the books in the bundle will revert to their regular prices and the remaining cost of the unreturned books will be subtracted from the refund.
eBook cancellations will be accepted only if the return request is made within 5 working days of placing the order. If the redemption codes are applied to access the eBook, refunds will not be processed.
Codify is not refundable, you may terminate your subscription or free trial by contacting AAPC via phone or email. To ensure that your credit card does not get charged, please make your cancelation request at least two business days prior to the end date of your subscription or free trial term.
Practicode may be cancelled for a full refund within 30 days of the date of purchase, provided the Client has not completed any exercises within the modules and/or assessments.
Reseller/Wholesaler Policy
Shipments must be securely packaged and in resalable condition through a carrier providing tracking information. AAPC will review and confirm returned products upon return. Credit to the account, minus applicable fees, will be posted once the audit is complete.
Upon receipt of your organization’s return requests, AAPC has the right to authorize and accept returns the following month, due to allocations of warehouse personnel to adequately process returns.
A $5 restocking fee will be applied to each item returned.
Annual books: Return of AAPC products will be accepted for full credit until September 30 of that version's year. Resellers/bookstores must complete returns within 90 days of purchase. Returns of AMA’s CPT® codebooks will be accepted for full credit until June 30 of that versions year.
