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Improving the Medicare Medical Necessity Verification Process

Session #: 805-35
Presenter(s): George Chiu
Session Length: 1hr. 00min.
Event: 2005 HFMA ANI
Date: 6-26-05

Purchase Media - Session #: 805-35
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 1. Audio CD $15 $15.00 buy now  
 2. MP3 CD $15 $15.00 buy now  

You'll Learn
Techniques to set up a committee to evaluate your organization's current medical necessity and ABN issuance processes.
The design and tools necessary to establish processes for medical necessity verification at each point of entry to the healthcare facility.
To develop a training plan for internal staff and external referring physician offices that encompasses policies and procedures for process flow, database utilization and quality assurance.
Local Coverage Determination and National Coverage Determination education.
To use measurement and communication tools for ABN process and data collection in order to analyze write-off department sources and trends.
Strategies to implement a rollout plan for medical necessity verification throughout the organization.



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