Mohs Micrographicsurgery
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AAPC approved - one (1) CEU
This on‑demand presentation offers a focused overview of Mohs Micrographic Surgery (MMS), emphasizing medical necessity, payer compliance, accurate coding, and defensible clinical documentation. Designed for clinical, coding, and billing professionals, it reviews physician qualifications, Appropriate Use Criteria (AUC), and Medicare Local Coverage Determinations (LCDs) to support proper use of Mohs surgery.Â
The program explores how AUC scoring applies across tumor types and anatomical locations, the effective use of AUC calculators, and how LCD requirements vary by Medicare Administrative Contractor. Real‑world examples highlight common documentation errors, compliance risks, and reimbursement impact.Â
Additional sections provide practical guidance on operative and histology documentation, multi‑stage procedures, immunohistochemical staining, and correct reporting when Mohs is not supported, along with coverage of closures, flaps, grafts, skin substitutes, and coding workflows. An interactive quiz is included to reinforce key concepts and supports knowledge retention.Â
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Upon completion of this program, participants will be able to:Â
- Evaluate the medical necessity and appropriate use of Mohs Micrographic Surgery (MMS) using physician qualification standards, Appropriate Use Criteria (AUC), and payer‑specific Medicare LCD requirements.Â
- Apply AUC scoring and calculators across tumor types and anatomical locations to support compliant clinical decision‑making and documentation.Â
- Identify common documentation and compliance risks that impact reimbursement, using real‑world examples to strengthen defensible clinical and operative records.Â
- Demonstrate accurate coding and documentation for Mohs procedures, including multi‑stage cases, histology, immunohistochemical staining, and scenarios when Mohs is not supported.Â
- Correctly report associated repairs and procedures—including closures, flaps, grafts, skin substitutes—and implement compliant coding workflows reinforced through interactive knowledge checks.Â