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 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.
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
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.
