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Address medical necessity, coding challenges related to wound care
Medical necessity denials traditionally focus on high-dollar MS-DRGs, such as those for hip and knee replacements; other MS-DRGs may also soon become targets, such as inpatient wound care, according to Nelly Leon-Chisen, RHIA, and Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, PCS, FCS, C-CDIS, CCDS. Krauss and Leon-Chisen discuss coverage determinations, excisional vs. nonexcisional debridement, debridement of multiple layers, and more.
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