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

Question and Answer

What is coding regulations and documentation standards.?

coding regulations and documentation standards. is Discover what must be done to comply with.

How does coding regulations and documentation standards. Discover?

Discover what must be done to comply with coding regulations and documentation standards.

What is changes?

changes is Master to the Medicare Therapy Cap Exception process and how it will effect patient’s out of pocket expenses..

How does changes Master?

Master changes to the Medicare Therapy Cap Exception process and how it will effect patient’s out of pocket expenses.

What is management?

management is Learn about orthotic and prosthetic and training services by differentiating between initial and subsequent encounters..

How does management Learn?

Learn about orthotic and prosthetic management and training services by differentiating between initial and subsequent encounters.

What is New CMS code?

New CMS code is for development of cognitive skills to improve attention, memory and problem solving..

How does New CMS code improve?

New CMS code for development of cognitive skills to improve attention, memory and problem solving.

What is Master documentation elements,?

Master documentation elements, is CPT coding and expected payment changes for Evaluations and Re-Evaluation codes for Physical and Occupational Therapy and Speech and Language Services..

How does Master documentation elements, changes?

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.

What is complicated MACRA law:?

complicated MACRA law: is Be prepared for Physical Therapists, Occupational Therapists and Speech and Language Pathologists have new 2019 reporting requirements for MIPS and APM bundled payments..

How does complicated MACRA law: Be prepared?

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.

What is the best next steps?

the best next steps is Learn what is for your organization..

How does the best next steps Learn?

Learn what is the best next steps for your organization.

What is coding procedures?

coding procedures is Learn the most current and accurate coupled with documentation tips and complete definitions to ensure prompt and optimal payments for future insurance claims..

How does coding procedures Learn?

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.

What is This course?

This course is 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..

How does This course will equip?

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.

What is These topics?

These topics is include 2018 CPT, HCPCS and ICD-10-CM coding updates, effective billing, revenue and documentation techniques and best practices..

How does These topics include?

These topics include 2018 CPT, HCPCS and ICD-10-CM coding updates, effective billing, revenue and documentation techniques and best practices.

What is Claims processing guidelines?

Claims processing guidelines is for 837p and 837i claim format..

How does Claims processing guidelines claim?

Claims processing guidelines for 837p and 837i claim format.

What is denials,?

denials, is Prevent delays and rejections by understanding how to combat these with effective appeals..

How does denials, Prevent?

Prevent denials, delays and rejections by understanding how to combat these with effective appeals.

What is strategies?

strategies is Gain for optimal reimbursement from Medicare, managed care, and insurance companies..

How does strategies Gain?

Gain strategies for optimal reimbursement from Medicare, managed care, and insurance companies.

What is Denials,?

Denials, is delays, and "more information required" are increasingly common responses for therapy and rehab insurance and Medicare claims..

How does Denials, delays,?

Denials, delays, and "more information required" are increasingly common responses for therapy and rehab insurance and Medicare claims.

What is New codes and reimbursement policy changes?

New codes and reimbursement policy changes is have further complicated the claims process for physical and occupational therapists and facility-based rehabilitation providers..

How does New codes and reimbursement policy changes have further complicated?

New codes and reimbursement policy changes have further complicated the claims process for physical and occupational therapists and facility-based rehabilitation providers.

What is Effective Medicare and insurance?

Effective Medicare and insurance is billing requires a thorough understanding of coding, documentation and billing procedures..

How does Effective Medicare and insurance billing requires?

Effective Medicare and insurance billing requires a thorough understanding of coding, documentation and billing procedures.

What is the new requirements?

the new requirements is Consolidating all of with existing coding rules and implementing proven billing techniques are the objectives of this seminar..

How does the new requirements Consolidating?

Consolidating all of the new requirements with existing coding rules and implementing proven billing techniques are the objectives of this seminar.

What is You?

You is 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..

How does You will learn?

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.

What is required elements and problem areas of documentation?

required elements and problem areas of documentation is Discuss for Therapy and Rehab Services Learn about how to document to support ICD-10-CM diagnosis coding through the use of signs and symptoms to support medical necessity Hands-on guidance on how to find and stay current on Medicare fee schedules, payment policy, internet only manuals, LCD’s and NCD’s..

How does required elements and problem areas of documentation Discuss?

Discuss required elements and problem areas of documentation for Therapy and Rehab Services Learn about how to document to support ICD-10-CM diagnosis coding through the use of signs and symptoms to support medical necessity Hands-on guidance on how to find and stay current on Medicare fee schedules, payment policy, internet only manuals, LCD’s and NCD’s.

What is Commercial insurance rehabilitation?

Commercial insurance rehabilitation is services payment policies will also be explored Identify procedure codes for rehabilitation services Determine the correct usage of procedures and documentation requirements Discuss CPT and ICD-10 coding for optimal reimbursement Identify upcoming changes to billing and coding Explain effective use of modifiers and coding combinations Discover how place of service affects reimbursement Illustrate tips and techniques for medical record requirements Outline what you must know about physician certification requirements CPT/HCPCS PROCEDURE CODES and COMPLIANCE WITH DOCUMENTATION STANDARDS Provides credentialing resources Explore the Revenue Cycle Evaluations and Re-Evaluations for Physical Therapy, Occupational Therapy and Speech Services..

How does Commercial insurance rehabilitation services?

Commercial insurance rehabilitation services payment policies will also be explored Identify procedure codes for rehabilitation services Determine the correct usage of procedures and documentation requirements Discuss CPT and ICD-10 coding for optimal reimbursement Identify upcoming changes to billing and coding Explain effective use of modifiers and coding combinations Discover how place of service affects reimbursement Illustrate tips and techniques for medical record requirements Outline what you must know about physician certification requirements CPT/HCPCS PROCEDURE CODES and COMPLIANCE WITH DOCUMENTATION STANDARDS Provides credentialing resources Explore the Revenue Cycle Evaluations and Re-Evaluations for Physical Therapy, Occupational Therapy and Speech Services.

What is tools?

tools is (Includes for changes in criteria.) Orders Plan of Care, Certification/Re-certification Rules Checklist CPT Procedure codes used in Therapy and Rehab Evaluations, re-evaluations, and assessments Supervised modalities Guidelines for billing therapy minutes Constant attendance modalities Therapeutic procedures, included changes in orthotic and prosthetic management and training and development of cognitive skills Speech Pathology Services Neuromuscular procedures Debridement, application of strapping, splints, casts Using HCPCS Level II codes for DME Orthotics billed by hospitals and other providers Lymphedema Service Woundcare Physical Performance Testing Daily Session Note Checklist Discharge Checklist NCCI Edits Modifiers HCPCS II Procedure codes used in Therapy and Rehab Functional Limitation Requirements G-codes for functional limitations and severity modifiers – required for outpatient claims filed to Medicare Place of Service Codes DIAGNOSTIC CODING New tools to prepare for ICD-10-CM – Bring your WI-FI enabled device Discuss chapters that effect Therapy and Rehab Laterality documentation requirements FEDERAL REGULATIONS MEDICARE'S BILLING RULES and Special Payer News Medicare Therapy Cap Documentation to meet Medical Necessity in Therapy and Rehab Understand changes with congressional changes and their impact on Therapy and Rehab Understanding Value-Based Payment issues: (i.e. MACRA, MIPS and APM) Explore resources pertaining to CMS MAC, RAC, ZIP, and CERT program guidelines OIG audit focus on behavioral health services Medicare’s “incident to” guidelines, definition of “incident to” services vs payer supervision Overview of Commercial Plans and Therapy Coverage Common forms of health care fraud and abuse COMPLIANCE Components of an effective compliance plan Understanding recent reports from CMS MAC, RAC, OIG, and GAO to reduce error rates in documentation UNDERSTANDING THE REIMBURSEMENT PROCESS Understanding the claim content 837p and 837i resources Explore common revenue codes used with the 837i claims formats Learn about the Medicare Learning Network THE APPEAL PROCESS Understanding reasons for denials Systematic steps of responding to an appeal Formats for appeal letters Get 2018 Coding and Billing for Therapy and Rehab - Sherry Marchand, CPMA, Only Price $80 Tag: 2018 Coding and Billing for Therapy and Rehab - Sherry Marchand, CPMA Review..

How does tools (Includes?

(Includes tools for changes in criteria.) Orders Plan of Care, Certification/Re-certification Rules Checklist CPT Procedure codes used in Therapy and Rehab Evaluations, re-evaluations, and assessments Supervised modalities Guidelines for billing therapy minutes Constant attendance modalities Therapeutic procedures, included changes in orthotic and prosthetic management and training and development of cognitive skills Speech Pathology Services Neuromuscular procedures Debridement, application of strapping, splints, casts Using HCPCS Level II codes for DME Orthotics billed by hospitals and other providers Lymphedema Service Woundcare Physical Performance Testing Daily Session Note Checklist Discharge Checklist NCCI Edits Modifiers HCPCS II Procedure codes used in Therapy and Rehab Functional Limitation Requirements G-codes for functional limitations and severity modifiers – required for outpatient claims filed to Medicare Place of Service Codes DIAGNOSTIC CODING New tools to prepare for ICD-10-CM – Bring your WI-FI enabled device Discuss chapters that effect Therapy and Rehab Laterality documentation requirements FEDERAL REGULATIONS MEDICARE'S BILLING RULES and Special Payer News Medicare Therapy Cap Documentation to meet Medical Necessity in Therapy and Rehab Understand changes with congressional changes and their impact on Therapy and Rehab Understanding Value-Based Payment issues: (i.e. MACRA, MIPS and APM) Explore resources pertaining to CMS MAC, RAC, ZIP, and CERT program guidelines OIG audit focus on behavioral health services Medicare’s “incident to” guidelines, definition of “incident to” services vs payer supervision Overview of Commercial Plans and Therapy Coverage Common forms of health care fraud and abuse COMPLIANCE Components of an effective compliance plan Understanding recent reports from CMS MAC, RAC, OIG, and GAO to reduce error rates in documentation UNDERSTANDING THE REIMBURSEMENT PROCESS Understanding the claim content 837p and 837i resources Explore common revenue codes used with the 837i claims formats Learn about the Medicare Learning Network THE APPEAL PROCESS Understanding reasons for denials Systematic steps of responding to an appeal Formats for appeal letters Get 2018 Coding and Billing for Therapy and Rehab - Sherry Marchand, CPMA, Only Price $80 Tag: 2018 Coding and Billing for Therapy and Rehab - Sherry Marchand, CPMA Review.

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