Session Description: This webinar will delve into the common trends and challenges associated with diagnosis coding denials, with a particular focus on medical necessity and the use of unspecified ICD-10 codes. Participants will learn about the most frequent reasons for claim denials, how to avoid them, and the impact of accurate coding on reimbursement. The session will provide practical strategies for ensuring that diagnosis codes meet medical necessity requirements and are as specific as possible to prevent denials.
Learning Objectives:
Understand Denial Trends: Identify and understand the most common trends in diagnosis coding denials, including issues related to medical necessity and unspecified codes.
Medical Necessity Requirements: Learn the criteria for medical necessity and how to ensure that diagnosis codes support the necessity of services provided.
Avoiding Unspecified Codes: Explore the challenges and risks associated with using unspecified ICD-10 codes and learn strategies to avoid them.
NAMAS presentations are submitted for approval to the AAPC and requested for 1 credit hour for Core A and all applicable certifications, including CPMA.
