Coding for Medical Necessity

Review the following lecture:Coding for Medical NecessityCoding for Medical NecessityMedical necessity is a term that relates to whether a procedure or service provided to a patient was necessary to maintain or improve the state of health of the patient. Coding for medical necessity is required to assure a payer that the provided service or procedure was necessary.Medical practices in healthcare facilities routinely participate in an audit process that involves reviewing patient records and billing records to assess coding accuracy and completeness of documentation in the medical record. To facilitate these audits, CMS has provided the Medicare Coverage Database (MCD) that is used by the Medicare Administrative Contractors, providers, and other healthcare industry professionals to determine whether procedures or services are indeed reasonable and necessary for the diagnosis or treatment of an injury or illness. The MCD contains both the National Coverage Determinations (NCD) including draft policies and proposed decisions. The Local Coverage Determinations (LCD) includes policy articles. CMS maintains Medicare administrative contractors or Macs, which are the carriers that process claims in regions of the United States. In CDs link ICD-10-CM diagnosis codes with procedures and services that are considered reasonable and necessary for the diagnosis in the ICD code. The NCD may also indicate codes that will not be approved. The LCDs are additional information that may help providers for coding certain procedures with a diagnosis, but they do not override any NCD that may exist. LCDs are also only applicable within the region that created them. These medical necessity codes also apply to the institutional or hospital bills on the UB-04 also known as the CMS-1450 form.It is important to understand that these codes for medical are a necessity because the bills will not be paid if there are any issues with them.Medical Coverage DatabaseReview the following links to learn more about the medical coverage database.National and Local Coverage Determinations opens in new window Clarifications about NCDs and LCDs opens in new window Medicare LCDs and NCDs in Medical Coding and Billing opens in newwindow________________________________________From textbook, Understanding Health Insurance: A Guide to Billing and Reimbursement, review the following chapter:Coding for Medical NecessitIntroduction:In order to properly code a bill for medical necessity, it is important to understand the electronic medical record. This record contains information about the patient’s health both before and after the treatment and has the data needed to assure a payer that the treatment was necessary.Tasks:• Explain the contents of the medical record.• Describe SOAP notes—subjective, objective, assessment, and plan.• Explain operative reports function in medical necessity coding.• Explain National and Local coverage determinations.Submission Details:REQUREMENTS:5-10 page Essay with IN TEXT CITATIONS!!!!Includes all assignment components and meets graduate level critical thinking. A purpose statement is identified for the response.Paper shows ability to evaluate, apply and integrate key assignment concepts.Paper Synthesizes and justifies (defends, explains, validates, confirms) information gleaned from sources to support major points presented. Use APA7 format with 3 credible resources for the assignment, including at least 1 scholarly peer-reviewed resource.

Assignments ABC
Order NOW For A 35% Discount!
Pages (550 words)
Approximate price: -


Top-Quality Papers with AssignmentsABC

Are you stuck with your paper? Is a research paper giving you a hard time crafting research topics? We assist students in achieving the best top-grade academic writing services in compliance with the provided instructions. Have your paper written with a certified specialist Ph.D., Bachelor's, and Master's graduates with many years of experience in academic writing. All our writers undergo thorough tests to ensure they are qualified writers and deliver the best consistent papers of high quality under tight deadlines.

1000+ Master's, Bachelor's and Ph.d. Experts

We ensure all our writers have the knowledge and experience of crafting the best papers before hiring them. Our writers have acquired Bachelor's or Ph.D. credentials from reputable institutions all over the globe. Our writers can handle papers from any discipline and can handle over 100+ subjects. Including but not limited to a dissertation, term papers, research papers, narrative essays, thesis papers, expository essays, etc. All your orders must pass through a strict protocol of our expert essay writing editors.

Affordable Essay Writing Services

We know that students have very limited budgets. And for that, we always strive to provide only the best, most affordable online college homework help services to our customers. We provide a great deal of student-friendly prices and professionalism with all our essay writing services. We provide great discounts for all our returning customers and new clients. Our paper writing services have a user-friendly interface and professional academic assistance. We are committed to assisting all students in any discipline regardless of their academic level. Place an order with an essay writer today.

Timely delivery of Work

Are you close to missing your paper deadline? Or spent a lot of time conducting extensive research and crafting papers? You are at the right place to get your research paper done in under 3 hours to meet your tight deadline. Our writers follow a strict schedule to ensure papers are delivered before the deadline to enable our editors to proofread before the final delivery to our customers. We strictly observe the early delivery of assignments to meet our clients' deadlines. You can, therefore, trust that your paper will be done within and before the set deadline.

100% Original Papers

"Hello, can you write my essay with 100% original content?" We are dedicated to conducting thorough research and writing papers from scratch to deliver original papers. Writers who deliver plagiarized papers are suspended to avoid future plagiarized papers. To avoid paper plagiarism, all orders go through steps of writing, editing, and proofreading. All papers are delivered with 100% plagiarism content. You can, therefore, rest assured that any signs of plagiarized or unoriginal content will be rejected before it reaches your portal.

24/7/365 Customer Assistance

We are dedicated to ensuring our customers have an excellent experience while using our essay writing services. Our customer support is available 24/7/365 to help clients and make their paper writing services easy to use. Our experienced support team is available to answer your queries any time, 24 hours a day. Kindly feel free to ask your queries on your order placement, payment methods, and order processing. Our customer support is always available round the clock and ready to listen to your queries. Feel free to contact us via our website or live chat.

Try it now!

Calculate the price of your order

We'll send you the first draft for approval by at
Total price:

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Services

For years now, has stood as a leader in providing its customers with the best online college homework help service in the industry. And all you have to do is provide us with the details of your order. Leave everything else to us. We’ve always got you covered.


Essay Writing Services

Since we launched, deserved the best online “college homework help status” thanks to our essay ordering, writing, and delivery process. We deliver nothing but excellence in our results. Our essay writing services include impeccable grammar, zero-plagiarism, proper structure, and conformance to guidelines.


Admission and Business Papers

Our top-quality online college homework help services guarantee that you will be accepted into your desired university. You just need to fill out your admission and business papers, and our team of online homework help workers will handle the rest. We will help you achieve and secure the best positions in your admissions forms.


Editing and Proofreading

At, we have a skilled writing and editing team that’s dedicated to creating, editing, and restructuring for all types of papers. Our online college homework help editing and proofreading team will check, paraphrase, and correct any grammar mistakes on your paper before submitting the final document to you.


Technical Papers

At, we pride ourselves in having writers in almost all fields, even the most technical ones. You never have to worry about your paper being too technical for our certified online college homework help writers to handle. Mycoursewriter's team of writers can handle even the most complex writers. We will match your paper to the most competent writer that we believe will handle your paper the best way possible.