Coding and Medical Necessity Reviews
Transforming oncology diagnoses , procedures , and other clinical services into billable events supported by medical necessity review and documentation
Challenges
• Multiple specialties requiring in-depth specialtyspecific knowledge
• Annual coding changes
• Limited clinical expertise to facilitate medical necessity reviews
Benefits
• Maximizes coding opportunities with specific radiation , medical , and surgical oncology expertise
• Ensures regulatory compliance
• Utilizes oncology-specific expertise to maximize revenue generation
• High penalties for improper compliance
Now Trending
• Documentation and coding compliance reviews
• Internal coding audit or support , including provider / auditor dispute resolution
• Coding and billing policy and procedures development
• Patient status evaluations
• Medical necessity reviews
• Oncology clinical trial protocol reviews
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