This one-hour webinar will provide your practice with a current look into medical necessity issues impacting gastroenterology.  With payers requesting documentation prior to payment and post-payment for infusions, multiple endoscopies, diagnostic studies and high level visits, the importance of documenting to specificity is essential for economic survival.

• Endoscopy Reports:  Is there a clear indication?  Are methods documented?  Any contradictions in report?
• Screening vs. Diagnostic Colonoscopy: Documentation tips for the provider when symptoms are present in a patient that is due for screening colonoscopy.
• Medical Necessity for Diagnostic Studies and Endoscopy:  Does your documentation support medical necessity for endoscopic treatment, capsule endoscopy and radiologic studies?

• Infusions:  Is there a specific indication?  Were hydration services necessary?
• Diagnostic studies:  What are payers looking for?
• E&M services:  What is needed to support a level 5 new patient service or a level 3 initial inpatient visit?
• ICD-10:  Does your first diagnosis listed on the claim support the medical necessity? This is the most important issue since the payer’s computer either pays or pends the claim based upon that code.