Patient Financial Services: Clinical Denials - Medical Necessity

Course overview

This course provides an overview of clinical denials related to medical necessity for patient financial services (PFS). Area reviewed include how authorization issues lead to denials, denial resolution and mitigation techniques, and submitting an appeal. Please note: This continuing education activity was planned for Registered Nurses and other healthcare professionals. Completing this course does not authorize you to add any skill discussed in the content to your practice if this function is not included in your current scope of practice.