Managing Clinical Documentation (Medicaid)

Clinical documentation helps with the coding and billing process by supporting diagnoses and procedures. Clinical documentation is essential to preventing and overturning medical necessity denials. This course covers the various types of denials, the most common causes of denials, and commonly denied procedures. Then, the course delves into denial prevention tools and solutions.

  • Identify the benefits of clinical documentation improvement
  • Establish how certain tools can help prevent denials and improve clinical documentation
  • Break down the levels of appeal in challenging medical necessity
  • Illustrate solutions for low physician engagement
  • Explain what steps should be taken to resolve a specific need that has been identified

Additional Information

Advance Preparation: None

Prerequisites: None

Program level: Basic

Delivery Method: Self-study

CPE Field of Study: Specialized Knowledge


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