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Medical Necessity Physician Education

  1. Default Medical Necessity Physician Education
    Medical Coding Books
    Does anyone have any suggestions for educational tools to reiterate Medical Necessity for physicians ordering outpatient testing???

    Thanks- Tiffany Messing, CPC

  2. #2
    Dover Seacoast New Hampshire
    Check your LCDs and NCDs for your area. This is located on the CMS website under Medicare Coverage Database. T

    There you will see published guidelines for specific CPT codes for diagnostics where it will list the diagnosis codes that are considered medically necessary, and then you can use that information to assist them with code selections that make sense.
    Pam Brooks, MHA, COC, PCS, CPC, AAPC Fellow
    Coding Manager
    Wentworth-Douglass Hospital
    Dover, NH 03820

    If you can dream it, you can do it. Walt Disney

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