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I got it!

Mr Dorothy D. Steed


Overview: This is a critical phase for compliance. Documentation is the driving force for support of medical necessity & patient outcomes. The billing provider is responsible for ensuring that all pertinent data is clearly recorded in the patient\'s medical record.The record also serves as protection for the provider should the encounter result in legal action. Missing or ambiguous documentation will be detrimental in patient complaints, and could be ruinous in extreme cases. Optimal coding is achieved by applying coding conventions and guidelines to documentation. Payers will process claims based upon your billing information. System edits will compare your billing patterns to peers in same practices. When medical necessity is questionable, requests for records are often generated. When documentation does not support billing, claims are usually denied. This program will examine the steps to optimal revenue outcomes. Why should you Attend: A large percentage of revenue necessary to meet operational costs is generated by coding, billing and documentation.