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Medical Necessity: The Key to Capturing Services and Keeping your Reimbursement (On-Demand) | June 2019
Released:  June 2019
Viewing Time:  1 hour
Description
The recording of 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. Excellent resource for physicians/providers, managers, coders, schedulers, preauthorization/utilization review coordinators, and clinical staff members.
Learning Objectives
This webinar will address the following questions and give clarity on these coding items:
  • 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.
  • Endoscopy Reports: Is there a clear indication?Are methods documented?Any contradictions in report?
  • 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?
Faculty
Kathleen A. Mueller, RN, CPC, CCS-P, CMSCS, ICD-10 Proficient
AskMueller Consulting, LLC
Optimal Viewing Experience on GI Leap
Because all browsers continually roll out new versions and updates, it is not always practical to point to a particular browser as "better" than another. Because browsers are free, you can easily shift from one to another for various purposes. Whatever browser you are using, here are some tips for better streaming and viewing of ASGE videos:

  1. Close other applications and browser tabs. This decreases the load on memory so your computer or other device can focus on streaming.
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  3. Use Ethernet instead of Wi-Fi if possible but GI LEAP is built with Wi-Fi in mind. 
  4. Monitor your internet connection. If your ISP has promised you 5MBps and you are getting only 1MBps, it's time for a phone call to your internet provider to sort that out.
Hardware/Software Requirements
Windows Requirements: 
Operating system: Windows 7+ 
Browser: Internet Explorer 8+, Firefox 10+, Google Chrome 10+ 
Internet connection: DSL, cable modem, or other high-speed connection 
Flash: Adobe® Flash® Player 12+ 

Macintosh Requirements: 
Operating system: Mac OS X 10.6.8+ 
Browser: Mozilla Firefox 10+, Safari 5+, Google Chrome 10+ 
Internet connection: DSL, cable modem, or other high-speed connection
Flash: Adobe® Flash® Player 12+
Contact Information
For technical difficulties or questions related to content or CME credits, please contact ASGE between the hours of 8:30 AM and 5:00 PM (CST) at 1-866-353-2743 or email education@asge.org.
Summary
Availability: On-Demand
Available Jun 07, 2019 to Jun 06, 2022
Cost: Member: $99.00
Non-Member: $149.00
Credit Offered: 1 CME Credit
1 Participation Credit
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