Medical Necessity: The Necessity of Getting it Right

Tuesday, April 25, 2017
10–10:30 a.m. ET; 7–7:30 a.m. PT
Program 278
Bill Rifkin, MD
   Managing Editor and Physician Relations Specialist, 
MCG Health
Deborah Grider, CPC, CPC-I, CPC-H, CPC-P, COC, CPMA, CEMC, CCS-P, CDIP, AHIMA-Certified Clinical Documentation Improvement Practitioner;
Laurie Johnson, MS, RHIA, CPC-H, FAHIMA, AHIMA-Approved ICD-10-CM/PCS Trainer; and Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, FCS, PCS, CCDS, C-CDI, C-DAM
Why is concept of medical necessity a conundrum to so many physicians, coders, and clinical documentation integrity specialists? Why does medical necessity continue to trigger audits?

The enigma will be the lead story in next edition of Talk Ten Tuesdays. And reporting the story will be an individual many consider to a celebrity in the world of medical necessity: Bill Rifkin, MD. Dr. Rifkin, who reviews utilization data across the country and reviews thousands of peer review articles on medical necessity, serves as the managing editor and physician relations specialist for MCG Health in Seattle.

Other segments to be featured on the broadcast include:

  • News Desk: Laurie Johnson, who anchors the Talk Ten Tuesdays news desk, will check in with the latest ICD-10 headline news. Laurie is the director of health information management (HIM) consulting services for Panacea Healthcare Solutions, a Career Step company.
  • Coding Report: Deborah Grider, senior healthcare consultant for Karen Zupko & Associates, will report on the challenges coders face when confronting issues of medical necessity.
  • CDI Report: Glenn Krauss will present the latest installment in his popular series on clinical documentation integrity (CDI).
  • DocTalk: Program host Erica Remer will report on how CDI documentation can support (or not, as the case may be) medical necessity.

All this and more will be coming your way on Tuesday, April 25, at 10 a.m. ET.


Talk Ten Tuesdays. More than just talk.™