Medical Necessity Training Handbook for Labs

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Laboratory staff are key to ensuring that your facility only bills Medicare for medically necessary services.

Proving that an item or service is medically necessary is essential to appropriate reimbursement. It sounds easy in theory, but in practice it can be one of the greatest challenges facilities face.

The Medical Necessity Handbook for Labs is your lab staffs' guide to understanding medical-necessity requirements and the role they play in making sure your laboratory receives every dollar it is entitled to for services rendered.

Documentation requirements for tests and services must meet strict standards. This handbook will explain how laboratory staff can meet those standards and stay in compliance.

They will learn:

  • what information is required to ensure that diagnostic tests meet medical-necessity standards
  • how to perform medical-necessity checks
  • what do to when tests do not meet medical-necessity criteria
  • how and when to ask a patient to sign an advance beneficiary notice
  • how to discuss medical necessity with physicians and others who refer patients to the laboratory
  • Denials for services that don't meet medical-necessity standards could cost a laboratory millions of dollars each year. Don't take chances with either your reimbursement or compliance—educate lab staff on Medicare's medical-necessity requirements.

    Save money when you purchase multiple copies! Ask your customer service representative about money-saving discounts and bulk orders. Call toll free 800-650-6787 or e-mail customerservice@hcpro.com.
    Publisher :  HCPro, Inc
     
    Product Types : Departments :
    Proving that an item or service is medically necessary to Medicare is essential to appropriate reimbursement. It sounds easy in theory, but in practice it can be one of the greatest challenges facilities face. This handbook is your lab staffs' guide to understanding medical-necessity requirements and the role they play in making sure your practice or facility receives every dollar it is entitled to for services rendered.

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