First Text on Medicare Medical Necessity Now Available

Darren Carter, MD, CEO & President of Provistas, shares his knowledge and industry expertise in his book "Medicare Medical Necessity: a Guide to Maximizing Compliance and Improving Reimbursement." You'll learn how to:

• Decode local medical review policies to understand what Medicare contractors will or will not cover.


• Use the advance beneficiary notice (ABN) to ensure compliance with Medicare rules.


• Find other ways to receive reimbursement for items and services that are denied coverage due to lack of medical necessity.


• Influence the creation of Medicare's national coverage policies by learning how program administrators develop their decisions.


• Check for medical necessity by using a compliant approach that ensures accurate reimbursement and helps you maintain good relationships with your patients.

Medicare Medical Necessity: A Guide to Accurate Reimbursement and Full Compliance and its accompanying CD-ROM covers all aspects of medical necessity, including regulation, compliance, clinical decision making, medical coding, and patient coding. Whether you have little or no background in Medicare or have a good understanding of the components of the compliance process, this book will help ensure that you receive full and fair reimbursement and help you maintain compliance.

For more information or to purchase “Medicare Medical Necessity: A Guide to Accurate Reimbursement and Full Compliance” please visit to http://www.hcmarketplace.com/Prod.cfm?id=1314.