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Automated Guidelines for Healthcare Reimbursement Series

Part 3: Documentation of Medical Necessity for CMS Home

As presented by:

Denis Gagné, CEO and John Svirbely, CMIO of Trisotech

Audits for medical necessity can be a headache and a financial burden to providers. Problems are often traced to issues such as incomplete documentation and incorrect coding. In this third webinar, we will demonstrate how business models can be used to meet Centers for Medicare and Medicaid Services (CMS) rules for home health care. These models can serve as documentation, especially when supported by decision models for disease severity and therapeutic decision-making. In addition, the models can schedule renewals when needed, reducing interruptions in patient care.

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