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Talk Ten Tuesdays

Medical Necessity versus Medical Decision-Making

April 14, 2020 Chuck Buck | Timothy Powell, CPA | Laurie M. Johnson | Susan Gatehouse | H. Steven Moffic, MD | Terry Fletcher | Erica Remer, MD Episode 411
Talk Ten Tuesdays
Medical Necessity versus Medical Decision-Making
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Talk Ten Tuesdays
Medical Necessity versus Medical Decision-Making
Apr 14, 2020 Episode 411
Chuck Buck | Timothy Powell, CPA | Laurie M. Johnson | Susan Gatehouse | H. Steven Moffic, MD | Terry Fletcher | Erica Remer, MD

Medical decision-making (MDM) and medical necessity are not the same thing. MDM specifically refers to the complexity of establishing a diagnosis and/or selecting a management option. Medical necessity refers to the appropriateness of the service provided for a certain condition. But which determines how you get reimbursed, when many healthcare professionals use these terms interchangeably? 

The live broadcast will also feature these other segments:

  • Mental Health Report: H. Steven Moffic, MD, one of America’s foremost psychiatrists, returns to the broadcast to report on how best to test your survival skills during this challenging time in our daily lives.

  • Tuesday Focus: Susan Gatehouse, founder and CEO of Axea Solutions,  reports on the Families First Coronavirus Response Act enacted on March 18, the Act was passed in response to the COVID-19 pandemic. 

  • The Coding Report: Laurie Johnson has an update on the deadly coronavirus that continues to dominate international as well as domestic news headlines.

  • News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.

  • TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, returns to the broadcast to answer many of the COVID-19 coding questions that came in from previous broadcasts.
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Show Notes

Medical decision-making (MDM) and medical necessity are not the same thing. MDM specifically refers to the complexity of establishing a diagnosis and/or selecting a management option. Medical necessity refers to the appropriateness of the service provided for a certain condition. But which determines how you get reimbursed, when many healthcare professionals use these terms interchangeably? 

The live broadcast will also feature these other segments:

  • Mental Health Report: H. Steven Moffic, MD, one of America’s foremost psychiatrists, returns to the broadcast to report on how best to test your survival skills during this challenging time in our daily lives.

  • Tuesday Focus: Susan Gatehouse, founder and CEO of Axea Solutions,  reports on the Families First Coronavirus Response Act enacted on March 18, the Act was passed in response to the COVID-19 pandemic. 

  • The Coding Report: Laurie Johnson has an update on the deadly coronavirus that continues to dominate international as well as domestic news headlines.

  • News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.

  • TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, returns to the broadcast to answer many of the COVID-19 coding questions that came in from previous broadcasts.