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We recently published an article on how to make your documentation defensible. Therapists must also understand what constitutes a medically necessary claim. CMS defines a medically necessary service or supply as: “needed to prevent, diagnose, or treat an [...]
The healthcare insurance industry today is moving toward value-based payments. Auditing systems are being used to ensure that clinics are strictly following CPT (Current Procedural Terminology) and National Correct Coding Initiative (NCCI) rules. To protect [...]