Megan Reavis – Rehabilitation Reimbursement & Documentation – Solutions to Avoid Costly Denials, Prove Medical Necessity & Protect YOUR Time

Faculty:Megan ReavisDuration:5 Hours 52 MinutesFormat:Audio and VideoCopyright:Mar 28, 2019DescriptionEverything you now are documenting has a time stamp and if it doesn’t add up, it could cost you your job. Mary had seen a patient earlier in the morning and hadn’t completed a daily note while with the patient. At the end of the day, she completed her note, but couldn’t remember the actual time she had spent with her patient. She logged her time with the patient from 11:00 am to 11:45 am and went home for the day.Mary comes in the next morning and is met by the Rehab Director wanting to know how she saw her patient when the patient wasn’t even in the building. The patient had been taken to the hospital at 10:45, making it impossible for Mary to have seen the patient at the time she had written down. Mary is now under investigation for false documentation because she didn’t take the time to write down her actual time spent and she risks losing her job and her license.Medical necessity is a big topic in our industry. It is a term that has adopted a variety of definitions and we are looking at an increase in inappropriately billed claims. We now must justify our clinical decisions while capturing treatment accurately and effectively. Audits have become everyday industry concerns as we face the allegations of “inappropriately billed” claims. There is an increased expectation to justify why we are providing services and why our clinical expertise is needed. The standards have changed, the challenges mount and patients still deserve the very best care.This recording will provide a thorough understanding of medical necessity and a “how-to” guide for effective documentation. Whether you’re a therapist completing evaluations or an assistant completing progress notes, every area of therapy documentation is examined. Computerized documentation or paper versions will never replace the clinical decision making used to determine medical necessity.Ongoing training and education are our biggest defenses to ensure our claims get paid for the therapy services the patients benefited from. Imagine being able to put your attention back on your patients, without fear of what you are missing in the documentation. Case studies focus on typical, everyday patient situations with opportunity for questions and discussion to enhance the learning experience.HandoutsManual – Rehabilitation Reimbursement & Documentation (1.34 MB)83 PagesAvailable after PurchaseInstructions for ASHA Credit – SELF STUDY ONLY – 03/28/19 (38.5 KB)Available after PurchaseOutlineDocumentation And Medical NecessityMedicare A and the upcoming changes around SNFs and home healthMedicare B and outpatient reimbursementManaged careACOs/ bundled payments and the shift therapy deliverEvaluations, Need & Reimbursement Reasons for evaluation and how to justify medical necessityPrior level of function and what key components to includeCo-morbidities/Complexities and how they will impact reimbursementGoal writing and what to add to make it measurableCritical Terminology: What It Means To Your Documentation Determining medical necessityRehab terminology that must be included in your daily documentationSkilled vs. unskilled terminologySupportive Documentation Case study: Break down the components of the treatment planPitfalls to avoidDrop-down menus are not your friendIf you didn’t write it, it didn’t happenCoding and Diagnoses CPT codes and what will get you paidAvoiding “Red Flag” codes and why they are denying themDiagnoses that won’t get you paidDenial Management Understanding RAC, MAC, ADR, denials, and ZPIC auditsReasons for denials: Top 10 reasons we are not getting paidQuality assurance audits used to decrease unpaid claimsFacultyMegan Reavis, MBA, BS, COTA/L, Related seminars and products: 1 Megan Reavis, MBA, BS, COTA/L, has worked primarily in the geriatric setting for the past 20 years, as a clinician and in management roles, including work as a Rehab Director and Area Director. Megan is a national educator and has written and taught continuing education courses to rehab audiences around the country on a variety of clinical, documentation and reimbursement topics that draw from her areas of expertise. Additionally, Megan has worked as a consultant for Outpatient PT companies and Skilled Nursing Facilities to maximize outcomes and reimbursement, perform auditing and manage denials.Speaker Disclosures:Financial: Megan Reavis has an employment relationship with Orchestrall, Inc. She receives a speaking honorarium from PESI, Inc.Non-financial: Megan Reavis has no relevant non-financial relationship to disclose.Course Requirement: Megan Reavis – Rehabilitation Reimbursement & Documentation: Solutions to Avoid Costly Denials, Prove Medical Necessity & Protect YOUR TimeReal Value: $219.99One time cost: USD 59.99Check more original content of Megan Reavis – Rehabilitation Reimbursement & Documentation – Solutions to Avoid Costly Denials, Prove Medical Necessity & Protect YOUR TimeFrequently Asked Questions For “Megan Reavis – Rehabilitation Reimbursement & Documentation – Solutions to Avoid Costly Denials, Prove Medical Necessity & Protect YOUR Time” How to make payment for “Megan Reavis – Rehabilitation Reimbursement & Documentation – Solutions to Avoid Costly Denials, Prove Medical Necessity & Protect YOUR Time” ?Please add to cart on this page and go to checkout page. 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