Physical, occupational, and speech therapy services for pediatrics, adults, and geriatrics continue to be on the medical record review radar for Medicaid, Medicare, and private insurance carriers medical review entities for documentation, CPT coding, and billing issues. This seminar applies to therapists and assistants who treat pediatrics, adults, and geriatrics in all outpatient therapy settings.
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 recertification process that will help participants document the key points in supporting medical necessity and the skilled nature of outpatient therapy services not only for insurance carriers, but for their respective state practice act.
The seminar will teach participants what interventions, techniques and procedures are included within the 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 about the caregiver training services (CTS) CPT codes, documentation required to bill the CTS codes, and how to bill the CTS codes. These new CTS codes are very applicable to the pediatric population for all 3 disciplines.
The seminar will teach participants the national correct coding initiative (NCCI) edits and the proper use of Modifier 59 for Medicare, Medicaid and commercial insurance carriers. Lastly, the seminar will teach participants Medicare’s “8-minute rule”, definition of substantial per the American Medical Association, and provide billing scenarios to ensure therapists bill correctly to all insurance carriers, including the Medicare and Medicaid programs.
08:00AM – 09:45AM – Documentation requirements for evaluations and reevaluations
09:45AM – 10:00AM – Documentation requirements for Progress Reports
10:00AM – 10:15AM – Break
10:15AM – 11:15AM – Documentation requirements for daily notes and discharge reports
11:15AM – 11:30AM – Medicare Part B certification & recertification requirements
11:30AM – 12:00PM – CPT codes most commonly utilized by PT and OT
12:00PM – 1:00PM – Lunch
1:00PM – 2:00PM – CPT codes most commonly utilized by PT and OT (cont)
2:00PM – 2:45PM – CPT codes most commonly utilized by SLP
2:45PM – 3:00PM – Break
3:15PM – 3:45PM – NCCI edits and use of Modifier 59
3:45PM– 4:00PM – Medicare “8-minute rule” and definition of substantial per the American Medical Association
4:00PM – 4:30PM – Post-Test Billing Scenarios for Medicare, Medicaid, & private insurance carriers
4:30PM – Conclusion
7.0 CE Hours
CIAO is an ASHA Approved Provider #AAWA. (Available for 0.7 ASHA CEUs)
ASHA CE Provider Approval and use of the Brand Block does not imply endorsement of course content, specific products, or clinical procedures.
This course meets PDU requirements for NBCOT (7.0 PDUs)
This activity meets continuing competence requirements for PT/PTA license renewal in TX
This activity is provided by the Texas Board of PT Examiners Accredited Prov #2502009#TX
The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE
The Physical Therapy Board of California has determined that CIAO meets the standards set forth in section 1399.95 of the CA Code of Regulations
The Physical Therapy Board of California recognizes CIAO Seminars as an Approval Agency to Approve Providers Offering Continuing Competency Courses
CIAO is a Rule Approved Provider for the Florida Board of Physical Therapy
CIAO is an Approved Provider for the Florida Board of Occupational Therapy
CIAO is an Illinois Approved Provider for PT/PTA Continuing Education
CIAO is recognized as an Approved Provider for PT/PTAs by the NYSE Dept State Board for PT
Approved for:
7.0 Hrs. PT/PTAs in CA(#CIAO24-107) and Louisiana
7.0 Hrs. Registered with CEBroker for OT/COTAs in AL, AZ, GA, LA, MS, SC, TN
7.0 Hrs. Registered with CEBroker for PT/PTAs in AZ, GA, OK, SC, TN
8.0 Hrs. OT/COTAs in FL (CE Broker 20-1186494)
8.0 Hrs. PT/PTAs in FL (CE Broker 20-1186494)
8.4 Hrs. PT/PTAs in NY
Meets Requirements for:
PT/PTAs in AL, AK, AZ, CO, CT, DC, DE, GA, HI, ID, IN, IA, KS, KY, ME, MD, MA, MI, MO, MT, NE, NH, NC, ND, OR, PA, RI,
SC, SD, TN, UT, VT, VA, WA, WI, WY
OT/COTAs in AL, AK, AZ, AR, CA, CO, CT, DE, GA, HI, ID, IA, IN, KS, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ,,
NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, WA, WV, WY
*Meets Requirements means either this course follows the state rules/regulations for a CE course, or the course is approved by an entity that the state recognizes as an approver.
Accreditation of this course does not necessarily imply that the entities approving this continuing education support the views of the presenter or the sponsors.
CE Questions? Contact Cory at CIAO 850-916-8886
Meets PDU requirements for NBCOT
CIAO Automatically reports to CE Broker for Florida Occupational and Physical Therapists and Assistants.
Rick Gawenda | PTPresident