CPC/COC Review


Lesson 2 

 Medical Necessity

Medical Necessity





  • Start Here
  • Read

    Medical Necessity 

    Establishing medical necessity it the first step in third party reimbursement. Justifying care provided by presenting the appropriate facts. Payers require knowledge of the severity of the patients complaint or condition and all pertinent signs, symptoms, complaints, or background facts describing the reason for the encounter. These facts must be substantiated by the patient medical record. 

  • Log in to mark this lesson complete.