Coding management and compliance unit 5 assignment 1-2
Valid medical necessity
Step One: From the textbook, Case Studies in Health Information Management, follow the instructions to complete case 2-41 Medical Necessity
Step Two: Create a 1-page APA formatted paper which explains how medical necessity is determined and identify processes that can be put into place to ensure medical necessity is met. (HINT: Think about LCD’s, NCD’s, and CCI edits). One reference is required.
Step Three: Submit your response to the case study and the 1-page paper for grading
Identifying Case Mix Trends and completing a Case Mix Investigation.
From the textbook, Case Studies in Health Information Management, follow the instructions to complete case 2-29 Case Mix Index Trends and case 2-30 Case Mix Index Investigation.