Medical Necessity for Joint Replacements Requires Heightened Orthopedic Medical Coding Documentation
sam-mi2013-07-09T09:49:23+00:00How often are you faced with denied claims for joint replacements or those slow to be reimbursed because medical necessity is being reviewed or questioned? One of the most challenging aspects of your orthopedic surgery practice these days is when you provide a service to a patient who genuinely needs a joint replacement only to find later that reimbursement has been denied. Substantiating the need for joint replacement surgery requires detail, detail and more detail in order to avoid claim denial and keep your orthopedic revenue cycle management flowing smoothly. The following CMS guidelines are provide to help you avoid claim [...]