Physical and occupational therapy services continue to be on the medical record review radar for various Medicare Administrative Contractors and private insurance carriers medical review entities for documentation, coding and billing issues. 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, and occupational therapy assistants. The seminar will teach participants the new caregiver training services (CTS) CPT codes for 2024, documentation required to bill the CTS codes, and how to bill the CTS codes.
The seminar will teach participants the national correct coding initiative (NCCI) edits and the proper use of Modifier 59 as well as 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 program.
- Describe and implement the necessary components of an initial evaluation to support the need for skilled therapy services
- Identify when a reevaluation is appropriate to perform on a patient and bill to an insurance carrier
- List the required and necessary components of a progress report to support the therapy already provided and the need for continued skilled therapy services
- Apply strategies to more effectively support medical necessity and skilled services in your daily notes
- Describe and implement the necessary components of a discharge report to
demonstrate the nature of skilled services provided to support why you should be paid for those services
- Understand the certification and recertification process for Medicare Part B therapy services
- Distinguish between therapeutic exercise, neuromuscular reeducation & therapeutic activities
- Identify how to select the correct CPT code(s) based on interventions and techniques provided and documentation in the medical record
- Recite when to append modifier 59 to a CPT code on the claim form
- Explain how to charge correctly for the services you provide under outpatient therapy benefits for Medicare and private insurance carriers
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 – 2:30PM – NCCI edits and use of Modifier 59
2:30PM – 2:45PM – Break
2:45PM– 3:00PM – Medicare “8-minute rule” and definition of substantial
3:00PM – 3:30PM – Post-Test Billing Scenarios for Medicare & private insurance carriers
3:30PM – Conclusion
Early Registration cost is $209. Prices will go up to $229.00 on February 21, 2024. Sign up today!
Physical therapists, physical therapist assistants, occupational therapists, occupational therapy assistants, private practice owners and practice administrators, office managers at private practices, therapy billing companies, as well as directors, managers, supervisors and billers in skilled nursing facilities, hospital outpatient therapy departments, schools, rehabilitation agencies, home health agencies, and comprehensive outpatient rehabilitation facilities.
Each registrant will receive an email with a link and password to download the seminar handout in a pdf format. Three options will be provided: a 1 slide per page, a 2 slides per and a 3 slides per page.
Participants will need to bring their computer laptops and chargers with them or print off the handout prior to the seminar date and bring their own paper copy. No handouts will be provided to participants at the seminar location.
6.0 CE Hours
This course meets PDU requirements for NBCOT (6.0 PDUs)
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
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
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
Approved for:
6.0 Hrs. PT/PTAs in IL, LA, NJ(2306‐56), OH (#23S1567), TX (#2502009TX, 6 CCUs)
6.0 Hrs. Registered with CEBroker for OT/COTAs in AL, AZ, GA, LA, MS, SC, TN 6.0 Hrs. Registered with CEBroker for PT/PTAs in AZ, GA, OK, SC, TN
7.0 Hrs. OT/COTAs in FL (CE Broker #20- 930929)
7.0 Hrs. PT/PTAs in FL (CE Broker #20-930929)
7.2 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.
Register for the seminar online. Beginning 1 week before the date of the seminar, each participant will receive an email with a link and password to download the seminar handout in a pdf format. Three options will be provided: a 1 slide per page, a 2 slides per and a 3 slides per page.
Participants will need to bring their computer laptops and chargers with them or print off the handout prior to the seminar date and bring their own paper copy. No handouts will be provided to participants at the seminar location.
After 7 business days from the date of the seminar that you attended, you will go to www.ciaoseminars.com. You will log in with your email address and a temporary password (ciaotemp), complete the course evaluation and then print off your certificate of attendance.
Registrants who request a refund 10 calendar days prior to the date of the onsite seminar they are registered for will receive a refund of what they paid minus a $20.00 processing fee. There are no refunds after that date; however, at the discretion of Gawenda Seminars & Consulting, a credit may be given to attend the same seminar within one year of the date of the seminar the registrant initially registered for.
Each registrant will receive an email with a link and password to download the seminar handout in a pdf format. Three options will be provided: a 1 slide per page, a 2 slides per and a 3 slides per page.
Participants will need to bring their computer laptops and chargers with them or print off the handout prior to the seminar date and bring their own paper copy. No handouts will be provided to participants at the seminar location.