DURABLE MEDICAL EQUIPMENT AUDITS & INVESTIGATIONS INCLUDING SKIN SUBSTITUTES

Description

This webinar will focus on the following topics:

Durable Medical Equipment Audits & Investigations are on the rise.  Reviews have identified multiple instances in which items were ordered for patients and medical necessity was not met, documentation gaps were numerous or no record that items(s) were dispensed to the patient.   This webinar will focus on 4 durable medical equipment items that have been identifed as problem areas.

Additionally, CMS is taking a close look at the billing of skin substitutes that do not meet medical necessity.  New requirements for preauthorization have been established in addition to increased documentation requirements.

Webinar Objectives

• Understand billing & documentation requirements for CPAP
• Undersand billing & documentation requirements for orthotics
• What information is a “must” in the medical record?
• Understand documentation requirements for billing skin substitutes
• Understand documentation requirements for neoplasms
• Avoiding denials

Who Should Attend?

• Chargemaster Maintenance Staff
• Physicians
• Therapists
• Practice managers
• Medical assistants
• Nurses
• Compliance staff
• Billers
• Coders
• Revenue Cycle
• Risk Management
• Charge entry staff