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Section on Allied Health Webinar Series: Medical Necessity

  • Author: Michael Reed, PT, DPT, Simon Degenais, DC, PhD
  • Category: OnDemand & Webinars
  • Published On: Jul 19, 2013
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Non-Member: $95.00
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Program Details

Value-based initiatives are moving the field of medicine toward a model of reimbursement based upon the quality of the outcomes achieved. One factor that can dramatically impact the provision of care, dosage, duration and anticipated outcomes is the determination of medical necessity. The dilemma strikes at the first encounter, and now more than ever before, patient expectations must be managed while determining the absolute necessity of any intervention. Cost-effective management will rule the day; however, there exists a broad lack of consensus with respect to established objective criteria for the determination of appropriate treatment corridors and the threshold at which those portals should be opened for entry.

This recorded webinar explores the foundational definitions of medical necessity specific to various aspects of medical and surgical spine care. Treatment appropriateness and patient demand are considered in the context of developing metric-driven predictive modeling, evidence-based algorithms, cost-effectiveness and outcomes-dependent reimbursement. This course is intended for a wide ranging audience of spine specialists representing multiple disciplines and practice environments.

View Agenda

Presenters

Michael L. Reed, DPT, OCS

Simon Dagenais, DC, PhD

What You'll Learn

Defining Medical Necessity and the Factors Influencing the Determination for the Provision of Care

Metric-driven Evaluations and the Future of Predictive Modeling

Predicting and Securing Optimal Outcomes before the Onset of Care: Expectation Alignment

Financial Resources, the Payer and the Determination of Medical Necessity: The Slippery Slope

Audience

Advance practice providers, including chiropractors, nurses, nurse practitioners, physician assistants, physical and occupational therapists and rehabilitation professionals.

The North American Spine Society is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The North American Spine Society designates this enduring material for a maximum

1.5

AMA PRA Category 1 Credits.

Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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