Patient Access: Medicare and Medical Necessity

Price: $ 35.00 (USD)
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You will receive 2 credits (CE) upon completion of this course.

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Course Description

This course focuses on Medicare's medical necessity and Advance Beneficiary Notice (ABN) regulations and processes, as they relate to patient access functions and activities. The course answers questions such as:


  · What is medical necessity, an LMRP, NCD or LCD?
  · When should a facility verify that a test or procedure meets Medicare's medical necessity criteria?
  · When should an ABN be obtained?
  · What if the patient refuses to sign an ABN?
  · Where to begin?

      · Educating facility staff
      · Educating the physicians and their staffs
      · Informing the patients

The course initially defines the medical necessity 'alphabet soup;' CMS, FI, NCD, LMRP LCD, ABN.  As the reader progresses, he or she will learn how to execute a valid ABN and the benefits of a successful Medicare medical necessity program.

2 Educational Contact Hours Approved by the HCCA for CEUs

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More Information

Language English
Course Length 2.00 hours
Duration of Access Unlimited
Continuing Education Credits 2
Instructor Self Paced
Vendor IMA Consulting
Course Certification Approved by the AAPC, HCCA, NAHAM, AAHAM and AMBA for 2 CEUs.
Prerequisites/Audience None
Requirements/Materials Included None
Price: $ 35.00 (USD)
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