Foundational Coding: Introduction to Medical Necessity

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About this Course

This course provides an in-depth look at medical necessity and the impact on coding and documentation. Guidelines and examples for medical necessity are explored in order to teach coding concepts.



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• Review the relationship between the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) coding conventions and medical necessity requirements

• Explain the definition of medical necessity and how documentation requirements influence code assignment

• Examine the general rules for applying medical necessity and its impact on reimbursement

• Explore examples of medical necessity requirements and how they relate to ICD-10-CM code selection

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