tci E/M Coding Alert - 2017 Issue 2

Inside the E/M Code: Tackle MDM & Medical Necessity With This Tutorial

Medical necessity is the over-reaching criteria for all services. Does trying to grasp the differences between medical necessity and medical decision making (MDM) frustrate you? Many practices confuse medical necessity and MDM as the same, but you don’t have to make that mistake. Use our expert advice to learn how to distinguish from these two concepts. Comprehend Nuances of Medical Necessity To better understand medical necessity, look at these explanations from Medicare, The American Medical Association (AMA), and the Centers for Medicare and Medicaid Services (CMS). In Title XVIII of the Social Security Act, Section 1862 (a) (1)...

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