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Utilization Management Part II
Presented By: Maliha Iqbal, MD – Hospital Medicine, Beacon Health System
Learning Objectives:
- Define medical necessity and its role in healthcare reimbursement.
- Review cases to illustrate the impact of documentation of medical necessity on coding accuracy, claim denials, and audit outcomes.
- Provide strategies for documentation while maintaining accuracy and compliance
Dr. Iqbal is a Physician Advisor for Beacon Health System’s Utilization management department. She is a Senior Fellow in Hospital Medicine and is boardcertified
in Family Medicine. She is a practicing Adult Hospitalist at Memorial Hospital of South Bend, a Course Facilitator for the Society of Hospital
Medicine’s Leadership Academy, a Chapter leader for SHM’s Indiana chapter, and a panelist for ABQAURP’s Physician Advisor Item Writing/Reviewing Panel
for Advanced Level Physician Advisor Certification program. She is an advocate for patient and physician welfare.