Understanding the difference between medical necessity and MDM




CodeCast | Medical Billing and Coding Insights show

Summary: Medical Decision Making 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.<br> Problems can arise with training and documentation, when MDM and medical necessity are used interchangeably, or when practices and payers define medical necessity differently.<br> Terry will help you understand the differences and also prepare you for what’s ahead in 2021 in today’s podcast episode.<br> Subscribe and Listen<br> You can subscribe to our podcasts via:<br> <br> * Apple Podcasts – <a href="https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627" target="_blank" rel="noopener noreferrer">https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627</a><br> * Google Podcasts – <a href="https://play.google.com/music/listen#/ps/Ia47t6quqphhsanlzpajk37yiga" target="_blank" rel="noopener noreferrer">https://play.google.com/music/listen#/ps/Ia47t6quqphhsanlzpajk37yiga</a><br> * Spotify – <a href="https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX" target="_blank" rel="noopener noreferrer">https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX</a><br> * Stitcher – <a href="http://www.stitcher.com/s?fid=156874" target="_blank" rel="noopener noreferrer">http://www.stitcher.com/s?fid=156874</a><br> * TuneIn – <a href="https://tunein.com/radio/CodeCast--Medical-Billing-p1056702/" target="_blank" rel="noopener noreferrer">https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/</a><br> * YouTube – <a href="https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg" target="_blank" rel="noopener noreferrer">https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg</a><br> <br> If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: <a href="https://www.terryfletcher.net/contact/">https://www.terryfletcher.net/contact/</a><br>