Course Description:

Are you losing money? Do the documentation and CPT rules and regulations have you scratching your head?

Staying current with the ever-changing payment and documentation rules and regulations is critical to ensure that you are paid correctly and in a timely manner.

This exciting and up-to-date seminar is your #1 source for PT & OT CPT codes, use of modifier 59, billing and documentation rules and regulations. Join insurance billing expert Rick Gawenda, PT, and learn how to accurately navigate the reimbursement guidelines and regulations as they pertain to outpatient therapy services. Billing scenarios will be reviewed to ensure you can accurately charge patients correctly for their services for Medicare and non-Medicare beneficiaries. At the end of the day, you will leave with a new found understanding of why claims are denied and how to maximize your reimbursement legally and ethically. Attend and you will learn how to accurately:
• Bill the appropriate PT & OT evaluation codes using the required components
• Use CPT and L codes in all outpatient settings
• Differentiate between Column 1 and Column 2 NCCI Edits
• Use the new subsets of modifier 59 as they apply to outpatient therapy
• Maximize reimbursement when faced with Medicare’s “8-Minute Rule”
• Code for “each 15-minutes” and what is considered “substantial” portion for private insurance companies
• Implement the necessary components of documentation to support skilled therapy services for payment
• Write function-based short- and long-term goals based on the patient’s functional deficits
• Provide the requirements for developing plan of care and the certification/recertification process

This seminar is applicable to rehabilitation professionals in all outpatient settings, including private practice, hospital-based rehab agencies, comprehensive outpatient facilities, skilled nursing facilities, and even in your patient’s home.