Physical, occupational and speech therapy services continue to be on the audit radar for various Medicare Administrative Contractors MACs) and private insurance carriers medical review entities. In addition, all MACs have implemented the Targeted Probe & Educate medical reviews for outpatient therapy services. This webinar will review the necessary components of documentation for the progress report, daily notes, discharge report, and the Medicare certification and recertification process that will help you document the key points in supporting medical necessity and the skilled nature of physical, occupational, and speech therapy services not only for Medicare, but also for private and commercial insurance carriers.
At the completion of this webinar, the participant will be able to:
1. Identify reasonable and necessary criteria for skilled therapy services
2. Describe and implement the necessary components of a progress report to support the therapy already provided and the need for continued skilled therapy services
3. Apply strategies to more effectively support medical necessity and skilled services in your daily notes
4. Describe and implement the necessary components of a discharge report to demonstrate the nature of skilled services
provided to support why you should be reimbursed for those services
5. Understand the certification and recertification process for Medicare Part B therapy services
Rick Gawenda, P.T., graduated in 1991 with a Bachelor of Science in Physical Therapy from Wayne State University, Detroit, Michigan. Mr. Gawenda is currently the President and founder of Gawenda Seminars & Consulting, Inc. and Director of Finances for Kinetix Advanced Physical Therapy Inc., a private practice located in southern California. He has provided valuable education and consulting to hospitals, rehabilitation agencies, private practices, nursing homes, and his peers in the areas of CPT and ICD-10 coding, billing, documentation, reimbursement, and compliance as it pertains to outpatient therapy services as well as denial management and the appeals process for Medicare denied claims. Mr. Gawenda’s website, www.gawendaseminars.com, provides a valuable source of information on rehabilitation rules and regulations, coding, documentation, and reimbursement.
Mr. Gawenda is a member of the American Physical Therapy Association (APTA) and Michigan Physical Therapy Association (MPTA). Mr. Gawenda is the Past President of the Section on Health Policy & Administration of the APTA as well as Past President of the Michigan Association of Medical Rehabilitation Program Administrators.
Mr. Gawenda is also the author of “The How-To Manual for Rehab Documentation: A Complete Guide to Increasing Reimbursement and Reducing Denials” and “Coding and Billing For Outpatient Rehab Made Easy: Proper Use of CPT Codes, ICD-9 Codes and Modifiers”.
Physical Therapists, Physical Therapists Assistants, Occupational Therapists, Occupational Therapy Assistants, Speech-Language Pathologists, Office Managers, Compliance Officers, Auditors, Nursing Home Administrators, and Hospital Administrators and Directors responsible for therapy departments.
In addition to the expertise and advice presented during this webinar conference, you’ll also receive a handout (in PDF format) that will include related references.
This webinar has not been submitted to any state board or national organization for CEU approval. A certificate of attendance will be available upon completion of the webinar for each participant and may be adequate for credit in some states; you will need to contact your state licensing regulatory body to determine whether or not credit will be granted for this webinar conference. We provide no additional information for CEU approval.
Time: Approximately 2 hours (including Q&A time recorded)
There are no refunds for no shows or any other reasons once you register and payment is received. We are not responsible for organization firewalls or computer software issues that may interfere and/or prohibit your connection to the webinar portion of the presentation.
Venue system requirements:
- Microsoft Internet Explorer 7+, Mozilla Firefox 2.5+, Safari, or Chrome
- 1024 x 768 screen resolution
- Stable Internet connection, DSL or above
- Wired Internet connection; wireless is not recommended
- Flash Player 9 or higher
- Disable pop-up blockers
- Computer speakers for participants
Note: Android Smart Phones (i.e. iPhone) are not compatible.
In order to ensure a successful connection to the playback webinar link, please take a moment to conduct a system test by clicking this link: http://web.telspan.com/systemcheck
***Application Sharing does not need to be operational in order to view this webinar playback link.
*** This WEBINAR PLAYBACK LINK and HANDOUTS is not to be distributed outside of your organization. If you have a larger organization and have multiple locations, then please contact us here for pricing.