2018 Coding and Billing for Therapy and Rehab – Sherry Marchand, CPMA

2018 Coding and Billing for Therapy and RehabStay current with CPT, ICD-10-CM, and HCPCS Level II Codes.Discover what must be done to comply with coding regulations and documentation standards. Master changes to the Medicare Therapy Cap Exception process and how it will effect patient’s out of pocket expenses.Learn about orthotic and prosthetic management and training services by differentiating between initial and subsequent encounters.New CMS code for development of cognitive skills to improve attention, memory and problem solving.Master documentation elements, CPT coding and expected payment changes for Evaluations and Re-Evaluation codes for Physical and Occupational Therapy and Speech and Language Services.Be prepared for complicated MACRA law: Physical Therapists, Occupational Therapists and Speech and Language Pathologists have new 2019 reporting requirements for MIPS and APM bundled payments. Learn what is the best next steps for your organization.Learn the most current and accurate coding procedures coupled with documentation tips and complete definitions to ensure prompt and optimal payments for future insurance claims.This course will equip Therapy and Rehab providers with an understanding of industry coding and billing changes that are needed to survive in this changing healthcare environment.These topics include 2018 CPT, HCPCS and ICD-10-CM coding updates, effective billing, revenue and documentation techniques and best practices. Claims processing guidelines for 837p and 837i claim format. Prevent denials, delays and rejections by understanding how to combat these with effective appeals. Gain strategies for optimal reimbursement from Medicare, managed care, and insurance companies.Denials, delays, and “more information required” are increasingly common responses for therapy and rehab insurance and Medicare claims. New codes and reimbursement policy changes have further complicated the claims process for physical and occupational therapists and facility-based rehabilitation providers. Effective Medicare and insurance billing requires a thorough understanding of coding, documentation and billing procedures. Consolidating all of the new requirements with existing coding rules and implementing proven billing techniques are the objectives of this seminar. You will learn the most current and accurate coding procedure coupled with documentation tips and new definitions to ensure prompt and optimal reimbursement on future claims.Discuss required elements and problem areas of documentation for Therapy and Rehab ServicesLearn about how to document to support ICD-10-CM diagnosis coding through the use of signs and symptoms to support medical necessityHands-on guidance on how to find and stay current on Medicare fee schedules, payment policy, internet only manuals, LCD’s and NCD’s. Commercial insurance rehabilitation services payment policies will also be exploredIdentify procedure codes for rehabilitation servicesDetermine the correct usage of procedures and documentation requirementsDiscuss CPT and ICD-10 coding for optimal reimbursementIdentify upcoming changes to billing and codingExplain effective use of modifiers and coding combinationsDiscover how place of service affects reimbursementIllustrate tips and techniques for medical record requirementsOutline what you must know about physician certification requirementsCPT/HCPCS PROCEDURE CODES and COMPLIANCE WITH DOCUMENTATION STANDARDSProvides credentialing resourcesExplore the Revenue CycleEvaluations and Re-Evaluations for Physical Therapy, Occupational Therapy and Speech Services. (Includes tools for changes in criteria.)OrdersPlan of Care, Certification/Re-certification Rules ChecklistCPT Procedure codes used in Therapy and RehabEvaluations, re-evaluations, and assessmentsSupervised modalitiesGuidelines for billing therapy minutesConstant attendance modalitiesTherapeutic procedures, included changes in orthotic and prosthetic management and training and development of cognitive skillsSpeech Pathology ServicesNeuromuscular proceduresDebridement, application of strapping, splints, castsUsing HCPCS Level II codes for DMEOrthotics billed by hospitals and other providersLymphedema ServiceWoundcarePhysical Performance Testing Daily Session Note ChecklistDischarge Checklist NCCI EditsModifiersHCPCS II Procedure codes used in Therapy and RehabFunctional Limitation Requirements G-codes for functional limitations and severity modifiers – required for outpatient   claims filed to MedicarePlace of Service CodesDIAGNOSTIC CODINGNew tools to prepare for ICD-10-CM – Bring your WI-FI enabled deviceDiscuss chapters that effect Therapy and RehabLaterality documentation requirementsFEDERAL REGULATIONS MEDICARE’S BILLING RULES and Special Payer NewsMedicare Therapy CapDocumentation to meet Medical Necessity in Therapy and RehabUnderstand changes with congressional changes and their impact on Therapy and RehabUnderstanding Value-Based Payment issues: (i.e. MACRA, MIPS and APM)Explore resources pertaining to CMS MAC, RAC, ZIP, and CERT program guidelinesOIG audit focus on behavioral health servicesMedicare’s “incident to” guidelines, definition of “incident to” services vs payer supervisionOverview of Commercial Plans and Therapy CoverageCommon forms of health care fraud and abuseCOMPLIANCEComponents of an effective compliance planUnderstanding recent reports from CMS MAC, RAC, OIG, and GAO to reduce error rates in documentationUNDERSTANDING THE REIMBURSEMENT PROCESSUnderstanding the claim content 837p and 837i resourcesExplore common revenue codes used with the 837i claims formatsLearn about the Medicare Learning Network THE APPEAL PROCESSUnderstanding reasons for denialsSystematic steps of responding to an appealFormats for appeal lettersGet 2018 Coding and Billing for Therapy and Rehab – Sherry Marchand, CPMA, Only Price $80Tag: 2018 Coding and Billing for Therapy and Rehab – Sherry Marchand, CPMA Review. 2018 Coding and Billing for Therapy and Rehab – Sherry Marchand, CPMA download. 2018 Coding and Billing for Therapy and Rehab – Sherry Marchand, CPMA discount.