Presenter: Jean Acevedo, LHRM, CPC, CHC, CENTC
Date and Time: December 3, 10:30 am to 11:30 am
CERT contractors identified insufficient documentation as the #1 reason for improper payment of diagnostic tests. We’ll evaluate the elements to include in documentation, who can order and perform diagnostic tests, the definition of medical necessity, and the nuances of an order. We’ll also cover relevant statutes, regulations and program requirements for diagnostic tests and learn the three keys to correct reimbursement. You’ll get expert advice on coding guidelines for NCCI, diagnoses, modifiers, bilateral procedures, and LCDs. We’ll explore differences between dirty and clean claim submissions and gain tools to combat poor documentation.