Healthcare Foundations: ICD-10-CM Coding Diagnoses and Medical Necessity for Providers

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About this course

This course provides an overview of medical necessity and the impact of ICD-10-CM as well as coverage determinations. It looks at how documentation impacts correct code assignment and reimbursement, and offers specific examples in order to teach foundational ICD-10 documentation concepts.


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  • Provide an introduction to medical necessity and the impact of ICD-10-CM
  • Discuss National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), and their impact on medical necessity
  • Examine the use of the Advance Beneficiary Notice (ABN) and its impact on reimbursement
  • Review how documentation impacts correct code assignment, medical necessity, and appropriate reimbursement
  • Explore examples of appropriate medical necessity documentation for ICD-10-CM
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