For therapists, documentation is a required practice by federal, state, facility and accreditation laws and guidelines. Documentation requirements are ever changing with Medicare and other payers. In an ever changing healthcare environment therapist cannot afford denials for services they provide. The increase of payer auditing has forced rehabilitation therapy providers to be aware and understand documentation, billing and coding guidelines. Incomplete or inaccurate documentation may lead to a denial of payment for services rendered, the quality of care provided, and/or legal ramifications. This one day seminar discusses the necessary payer requirements for documentation, coding and billing.
1. Eliminating questionable coding and documentation practices to facilitate processing of your claims.
2. Identifying resources available to facilitate accurate and effective coding and appropriate reimbursement.
3. Applying clinical reasoning and documentation to support medical necessity of patient care.
4. Understanding the requirements of skilled care under Medicare and ensure you have the information to comply with these requirements.
5. Learning and understanding use of CPT codes
6. Identifying and avoiding reasons for denials
7. Understanding and identifying CCI edits and the use of modifier 59
8. Learning the ICD-9-CM coding guidelines when determining medical necessity
9. Understanding and identifying the necessary requirements of documentation
Occupational Therapists, COTA, Physical Therapists, PTAs, Rehab Directors, Managers, Medical Billing and Coders
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