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Documenting Medical Necessity for Major Joint …

    https://www.hhs.gov/guidance/document/documenting-medical-necessity-major-joint-replacement-hip-and-knee
    Documenting Medical Necessity for Major Joint Replacement (Hip and Knee) This MLN Matters® Special Edition (SE) is intended for physicians who perform major joint replacement (hip and knee) surgery on Medicare beneficiaries. This article may …

2020-11 | CMS - Centers for Medicare & Medicaid Services

    https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/MLN-Publications-Items/ICN909065
    Publication Description: Learn documentation and coverage requirements to bill correctly for major joint replacement. Downloads Major Joint Replacement (Hip or Knee) (PDF) …

Major Joint Replacement (Hip or Knee) - Centers for …

    https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/jointreplacement-ICN909065.pdf
    of the hospital record for the joint replacement surgical patient should include documentation of specific conditions, such as: Osteoarthritis (mild, moderate, severe) …

Major Joint Replacement for Hip and Knee - JE Part B

    https://med.noridianmedicare.com/web/jeb/cert-reviews/cert/major-joint-replacement-for-hip-and-knee-documenting-medical-necessity
    Major Joint Replacement for Hip and Knee - Documenting Medical Necessity. Findings by the Comprehensive Error Rate Testing (CERT) post review contractor …

Checklist: Major hip and knee joint replacement or reattachment …

    https://medicare.fcso.com/Med_doc_checklists/0501831.asp
    This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for major hip and knee joint replacement …

Major Joint Replacement (DRG 470): Documenting …

    https://www.cgsmedicare.com/parta/pubs/news/2015/0215/cope28418.html
    Major Joint Replacement (DRG 470): Documenting Conservative Treatments and Medical Necessity Reducing Medicare payment errors is a major focus …

Documenting Medical Necessity for Major Joint Replacement (Hip …

    https://www.jdsupra.com/legalnews/documenting-medical-necessity-for-major-56913/
    The hospital record for the postoperative joint replacement surgical patient should include operative report for the procedure, including observed pathology; daily …

Joint Replacement - Documenting Medical Necessity

    https://www.medicaltranscriptionservicecompany.com/blog/documenting-medical-necessity-for-joint-replacement/
    It requires a specific documentation that includes complete description of history and clinical findings to prove the recommendation of surgery was reasonable and …

DEPARTMENT OF HEALTH AND HUMAN …

    https://www.hhs.gov/guidance/sites/default/files/hhs-guidance-documents/SE1236.pdf
    CMS recognizes that joint replacement surgery is reserved for patients whose symptoms have not responded to other treatments. To avoid denial of claims for major joint …

Major Joint Replacement – RACmonitor

    https://racmonitor.medlearn.com/major-joint-replacement/
    The hospital record for the joint replacement surgical patient includes documentation of specific conditions. For example: Osteoarthritis (mild, moderate, …



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