Documentation 192 - 193

Course overview

Hour 1 *Demonstrate the components of recognizing Medical Necessary Care vs. Clinically Appropriate. *Identify CMT coding trends and indicators as they relate to medical necessity. *Properly manage treatment effectiveness for exacerbations and reoccurrences. *Determine Proper Diagnosis and Assessment for Federal Patients. *Acknowledge and audit CMT coding ratios to evaluate the potential risk. Hour 2 *Identify Dually Eligible Individuals (QMB) and Understand How Medicare Works with Medicaid. *Ascertain the practice's obligations for QMB patients, regardless of Medicaid participation or coverage. *Provide accurate and legal advance notice to dually eligible individuals within the new guidelines. *Recognize the differences between acute, chronic, and maintenance care and how that affects billing and charges. *Duplicate Medicare financial rules and collections guidance into a process within the practice.