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Documenting Medical Necessity

Presenter Jean Acevedo, CPC, CENTC
Broadcast Date 8/9/2017
Time 10:00am PT / 11:00am MT / 12:00pm CT / 1:00pm ET
Presentation Length 60 minutes
Price $65 (Non-members $85)
Documenting Medical Necessity Webinar

Learn more about this event

Understanding what is meant by medical necessity is a critical concept for a health care provider to not only be paid and to be paid correctly, but to avoid an allegation of an overpayment should Medicare, or another payer, request supporting documentation for claims submitted. Coders and billers submitting claims as well as physicians and nonphysician practitioners documenting services ordered or provided all need to have a good grasp of how payers make a medical necessity determination. This webinar will review recent findings from CMS contractors such as the CERT contractor and certain Medicare Administrative Contractors and how to apply these findings not only for proper reimbursement but also how to determine what documentation to submit when responding to a payer’s request for records.


  • Medical Necessity defined
  • Documenting Clinical Indications is not just a Problem List
  • Tips to Avoid Denials
Jean Acevedo, CPC, CENTC

About The Author

Jean Acevedo, CPC, CENTC

Jean Acevedo, LHRM, CPC, CHC, CENTC, AAPC Fellow is a compliance consultant with a particular expertise in chart audits, compliance and education. Her firm assists providers in implementing effective compliance programs, including meeting HIPAA and other regulatory requirements. She has also been an expert witness in civil litigation, Federal fraud cases and serves as an Investigative Consultant for the DOJ and FBI on coding and compliance issues.

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Two ways to register for this event
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