ICD-10-CM became effective with dates of service on and after October 1, 2015, yet many physical and occupational therapists, coders and other staff responsible for the submission of a claim to an insurance carrier still have many questions concerning ICD-10-CM at it applies to outpatient physical and occupational therapy services. This 2-hour online course is intended for the beginner to immediate physical and occupational therapist and/or coder and will thoroughly explain and answer many of the questions that you may have concerning the 7th character and when is one required and which one do I use, Excludes1 and Excludes2 meanings, how to select the correct ICD-10-CM code(s) based on the physician’s order and/or therapist initial evaluation documentation, and the difference between ICD-10-CM coding guidelines and what an insurance carrier requires.
Conditions discussed will include, but not limited to:
- Shoulder Bursitis
- Lateral Epicondylitis
- Non-traumatic and Traumatic Rotator Cuff Tear
- Hip Fracture
- Knee Replacement
- Carpal Tunnel Syndrome
- Benign Paroxysmal Vertigo
- Postmastectomy and Lymphedema
- Low Back Pain, Low Back Strain and Lumbar Radiculopathy
- Plantar Fasciitis
- ACL Tear
- and the famous Jack-O-Lantern Injury
At the conclusion of this online course presentation, participants will be able to:
- Define initial encounter, subsequent encounter and sequela
- Recite when a 7th character is required in ICD-10 coding and select the appropriate 7th character
- Describe the difference between “Excludes1” and “Excludes2”
- Describe the difference between Not Elsewhere Classified (NEC) and Not Otherwise Specified (NOS)
- Apply ICD-10 coding concepts to diagnoses and conditions seen in outpatient orthopedic physical and occupational therapy
- Be able to report and bill ICD-10 codes correctly for orthopedic conditions
- Understand the impact of ICD-10 coding to the physical and occupational therapy practice
- Identify documentation issues pertinent to PT and OT services as it applies to ICD-10-CM
Rick Gawenda, P.T., graduated in 1991 with a Bachelor of Science in Physical Therapy from Wayne State University, Detroit, Michigan. Rick is currently the President and Founder of Gawenda Seminars & Consulting, Inc. 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. Rick’s website, www.gawendaseminars.com, provides a valuable source of information on rehabilitation rules and regulations, coding, documentation, and reimbursement.
He is a member of the American Physical Therapy Association (APTA) and Michigan Physical Therapy Association (MPTA). Rick 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.
Rick 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, occupational therapists, private practice owners and practice administrators, office managers at private practices, as well as directors, managers, supervisors, compliance officers, risk managers, coders, and billers in skilled nursing facilities, hospital outpatient therapy departments, rehabilitation agencies, home health agencies, and comprehensive outpatient rehabilitation facilities responsible for ICD-10-CM coding.
In addition to the expertise and advice presented during this online course, you’ll also receive a handout (in PDF format) that will include related reference links.
This online course 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 online course 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 online course conference. We provide no additional information for CEU approval.
Time: Approximately 1 hour and 55 minutes (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.
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*** 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.