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Outpatient Therapy CPT Coding, Billing and Documentation for Rehabilitation Reimbursement
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Provider:
Cross Country Education, LLC
Topic(s):
Health Care > Nursing
Who Should Attend?
Physical Therapists, Occupational Therapists, Speech Language Pathologists, Physical Therapy Assistants, Certified Occupational Therapy Assistants, Rehab Directors, Managers and Supervisors, Rehab Billers and Coders, Physicians, Nursing Home Admin
- Advanced Coding, Billing and Reimbursement for the Physician Practice
- Coding and Billing for Therapy and Rehab
- Insurance Coding and Billing
Full Seminar Description
Outpatient Therapy CPT Coding, Billing and Documentation for Rehabilitation Reimbursement covers the correct use of CPT codes, G, and L Level II codes, and modifiers used by Physical, Occupational and Speech Therapists in all outpatient settings including private practice, hospital-based, rehab agencies, comprehensive outpatient rehabilitation facilities, skilled nursing facilities and in a patient's home. The course also covers ICD-9-CM coding guidelines as they pertain to outpatient therapy services. Billing scenarios are discussed and reviewed to ensure therapists can accurately charge patients correctly for their services. This course also examines the most common reasons claims are denied for all payers and thoroughly reviews Medicare Part B and other third party payer documentation guidelines for initial evaluations, re-evaluations, progress reports, daily notes, certifications/recertifications, plan of treatment and physician orders. Resources and references are provided to assist therapists to stay current with the ever-changing reimbursement guidelines and regulations as they pertain to outpatient therapy services. Keywords: Physical Therapists, Occupational Therapists, Speech Language Pathologists, Physical Therapy Assistants, Certified Occupational Therapy Assistants, Rehab Directors, Managers and Supervisors, Rehab Billers and Coders, Physicians, Nursing Home Administration. 6 CEUs. Fee per person EARLY BIRD 10 days before seminar: $199, $189 each for two to four people, $179 each for five or more. Fee per person REGULAR less than 10 days before the seminar: $219, $209 each for two to four, $199 each for five or more.Stay current with the ever-changing reimbursement guidelines and regulations as they pertain to outpatient therapy services!
Insurance payers are increasingly reviewing therapy claims to ensure that the therapy provided to the beneficiary required the skills of a therapist, was billed appropriately and the required documentation was present in the patient's medical record. The Centers for Medicare and Medicaid Services continue to focus their efforts on reducing inappropriate payments to providers of therapy services in all settings as outlined in the Office of the Inspector General's 2007 workplan.
Outpatient Therapy CPT Coding, Billing and Documentation for Rehabilitation Reimbursement covers the correct use of CPT codes, G, and L Level II codes, and modifiers used by Physical, Occupational and Speech Therapists in all outpatient settings including private practice, hospital-based, rehab agencies, comprehensive outpatient rehabilitation facilities, skilled nursing facilities and in a patient's home. The course also covers ICD-9-CM coding guidelines as they pertain to outpatient therapy services. Billing scenarios are discussed and reviewed to ensure therapists can accurately charge patients correctly for their services. This course also examines the most common reasons claims are denied for all payers and thoroughly reviews Medicare Part B and other third party payer documentation guidelines for initial evaluations, re-evaluations, progress reports, daily notes, certifications/recertifications, plan of treatment and physician orders. Resources and references are provided to assist therapists to stay current with the ever-changing reimbursement guidelines and regulations as they pertain to outpatient therapy services.
WHO SHOULD ATTEND
- Physical Therapists
- Occupational Therapists
- Speech Language Pathologists
- Physical Therapy Assistants
- Certified Occupational Therapy Assistants
- Rehab Directors, Managers and Supervisors
- Rehab Billers and Coders
- Physicians
- Nursing Home Administrators
"Very impressed with the presenter's knowledge of this topic." - Glen McBride, SLP-CCC, Kansas City, Missouri
WHAT YOU WILL COVER
- Learn and understand use of CPT, G, and L codes
- Charge correctly for the services you provide
- Understand the Medicare Automatic and Manual Process Exceptions
- Identify and avoid the main reasons for denials
- Master all the necessary components of documentation
- Define service-based vs. time-based CPT codes
- Describe the rationale for the use of CPT, G, and L codes in all outpatient settings
- Define and distinguish between mutually exclusive edicts and column 1/column 2 edits
- Be able to read the CCI edit chart and appropriately append modifier -59 to the correct CPT code(s)
- Be able to document appropriately to support the treatments provided and the use of modifier -59
- Learn and understand the ICD-9-CM coding guidelines as they pertain to outpatient therapy services
- Understand how ICD-9 codes support medical necessity by the various insurance payers
- Be able to charge correctly for the services you provide under outpatient therapy benefits
- Identify the most common reasons for denials of outpatient therapy services by all providers
- Delineate the specific requirements for physician orders for outpatient therapy services
- Identify reasonable and necessary criteria for skilled therapy services
- Describe and implement the necessary components of documentation to support skilled therapy services for reimbursement
- Be able to write function-based short- and long-term goals based on the patient's functional deficits
- Provide the definitions and requirements for developing plan of care and the certification/recertification process
Sponsor Background:
Leading the Way in Professional Development.
Cross Country Education is a national leader in high-quality educational products and services for the entire health care industry. Our seminars and training programs are designed to help health care providers achieve improved performance and results in all areas of clinical, financial and operational management. Our faculty of more than 150 instructors are the "best of the best" in their field of expertise and know how to provide programs that really make a difference to participants.
Since 1995, we have trained over 1,000,000 providers, managers, nurses, behavioral health professionals and other key personnel throughout the entire healthcare industry. We produce over 5,000 seminars and conferences annually for the health care industry. Plus, we coordinate in-house training for health care facilities. Let us provide your training and professional education needs!
Our Mission Statement
“CCE exists to identify and provide opportunities for relevant continuing education in a timely and geographically friendly manner that will meet and exceed the needs and expectations of targeted professionals.”
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