Physical, occupational and speech therapy services continue to be on the audit radar for various Medicare and private insurance carriers medical review entities for documentation, coding and billing issues. This seminar will teach participants the necessary components of documentation for the initial evaluation, reevaluation, progress reports, daily notes, discharge reports and the Medicare Part B certification and re-certification process that will help participants document the key points in supporting medical necessity and the skilled nature of outpatient therapy services.
The seminar will teach participants the correct use of CPT codes most commonly used by physical therapists, physical therapist assistants, occupational therapists, occupational therapy assistants and speech-language pathologists. The seminar will teach participants national correct coding initiative (NCCI) edits and the proper use of Modifier 59 as well as Medicare’s “8-minute rule”, definition of substantial per the American Medical Association, and provide billing scenario’s to ensure therapists bill correctly to all insurance carriers. Finally, the seminar will teach participants the latest on the Medicare therapy threshold, use of the KX modifier, claims exceeding $3,000 in a calendar year, and when to and when not to use an advance beneficiary notice (ABN) of non-coverage for outpatient therapy services
May 22, 2019