“Finally Friday!” How to Capture Medical Necessity Up Front

Friday, January 26, 2018

How to Capture
Medical Necessity Up Front


What a concept!

appeal academy | medical audit

See… “early” is the same thing as “up front” so… you get it, right?


Finally Friday! Broadcasts are Sponsored by
The Health Law Partners, Sound Physicians
The Sixth National Physician Advisor & UR Team Boot Camp

THIS WEEK, we asked our veteran expert in Utilization Review and Case Management to return and talk about EXACTLY WHAT NEEDS TO HAPPEN TO CAPTURE MEDICAL NECESSITY UP FRONT

appeal academy | medical audit

Click to visit Stefani’s Website

Stefani Daniels returns this week with the answer to the question for this week :

WHAT are the REAL requirements for medical necessity in documentation and why do so many people keep getting it wrong or don’t include it in the record?

SO… THIS week, Stefani and our Panel will be discussing:

  • Medical Necessity at Access
  • Medical Necessity Screening Criteria
  • Medical Necessity Determinations – NCDs
  • Medical Necessity Determinations – LCDs
  • The 4 Step Template for Medical Documentation
  • When to Admit as an Inpatient
  • Specificity of the Inpatient Admission Order

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Handouts for This Show


Participant Instructions 2.70 MB 35 downloads


Video Replay of THIS WEEK's Show

CCMA CMAS CEU Certificate

Video Replay of the PREVIOUS Show

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Visit www.thehealthlawpartners.com or call (248) 996-8510 or (212) 734-0128

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