tci E/M Coding Alert - 2021 Issue Q3

Back to Basics: Use Knowledge of Medical Necessity to Better Your Documentation

Hint: Your documentation can justify medical necessity, too. You may be familiar with the term medical necessity, but do you know how to wield that knowledge in a way that truly boosts your coding? Understanding the concept of medical necessity is crucial to confidently incorporating the 2021 office/outpatient evaluation and management (E/M) codes. Your grasp on medical necessity affects the accuracy of your coding. Define Medical Necessity Definitions of the term are, unsurprisingly, varied — and vague. However, there is some consensus among various medical institutions, according to Kim Huey, MJ, CPC, CPCO, COC, CHC, CCS-P, PCS, president, KGG...

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