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Briefings on Coding Compliance Strategies (Single Article)

Managing medical necessity
November 2002

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Changing rules, new ABN require refresher “Pay it right,” is the mantra of the Medicare integrity program, says Darren Carter, MD, president and chief executive officer of Provistas, New York. Regulators chose that mantra be-cause they expect all providers to follow the letter of the law with regard to claims processing, Carter says. “All of the regulations need to be followed appropriately.” As a side benefit to good compliance, he says you can expect to see an improvement in your bottom line.Knowing how to manage medical necessity is a big part of good complia

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