Talk Ten Tuesdays

Medical Necessity vs. Medical Decision-Making

February 06, 2018 Chuck Buck | Bonnie Cassidy | Stefani Daniels, RN | Larry Field | David Glaser, Esq. | Betsy Nicoletti | Stanley Nachimson Episode 311
Talk Ten Tuesdays
Medical Necessity vs. Medical Decision-Making
Show Notes

Are medical decision-making and medical necessity one in the same? Often, bad advice tends to circulate regarding how to select the correct evaluation and management (E&M) codes.

Healthcare attorney David Glaser was the first to break a news story involving Highmark’s recent policy – evidently recently rescinded – that required physicians to use medical decision-making as a key component of coding. Reporting our lead story during this edition of Talk Ten Tuesdays is David Glaser, who is joined by Betsy Nicoletti, a national consultant on physician coding and founder of Coding Intel.

Other segments to be featured on the broadcast include:

  • News Desk: Larry Field, DO, anchors the Talk Ten Tuesdays News Desk with the very latest healthcare news. Field is the treasurer of the American College of Physician Advisors. 
     

  • CDI Report: Nationally recognized clinical documentation improvement (CDI) expert Stefani Daniels returns to Talk Ten Tuesdays with yet another CDI report. Daniels is the founder and partner of Phoenix Medical Management, Inc. 
     

  • RegWatch: Leading healthcare technology consultant Stanley Nachimson returns with his popular segment, RegWatch, through which he reports on the latest regulatory changes coming out of Washington, D.C.

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