About HPA Audio Conferences:
- Continuing Education
Units (CEUs) for Audio-Conferences
- HPA does not apply to states for
CEUs for audio-conferences, however, your state
licensure may allow credits for this education
activity. You
will need to contact the agency in your state handling
your professional licensure in order to determine
whether or not credit is available.
- Registration Pricing
- Registration fees vary depending
upon the length of the audio-conference and participants’ membership
status. Prices are listed on the registration form
for each audio-conference. Registration is for
a single phone connection, but you are welcome
to use a speaker phone so that multiple individuals
may participate.
- Audio CDs
- Audio CDs of audio conferences are
not included in registration for the audio-conference,
but are typically available for purchase at a later date.
Pricing for CDs is generally the same as registration
pricing and includes a copy of the conference handout.
Order forms are available through the HPA website, HPA
Resource, and upon request from the HPA office.
Upcoming Conferences:
January 22,
2008 - "2008 Coding & Payment Update"
1:00PM-2:30PM eastern
time
Course Description:
This 90-minute audio conference will cover updates on the outpatient therapy rules pertaining to certifications / recertifications, qualification standards for therapists and assistants, payment under the Medicare Physician Fee Schedule, and the outpatient therapy cap for 2008. In addition, the audio conference will explain the rationale for the use of some of the more confusing CPT codes such as the splinting//strapping codes, orthotic and prosthetic codes, physical performance test, and manual muscle testing and range of motion codes. The presenter will also review and explain the 8 new CPT codes and discuss the PQRI measures applicable to physical therapists in the private practice setting.
Who should participate?
Rehab managers and directors, private practice owners and CEOs, PTs, OTs, SLPs, PT and OT Assistants, and anyone interested or involved with coding and payment for therapy services and CPT codes.
About the Presenter
Rick Gawenda, PT, of Ypsilanti, Michigan, is the director of physical medicine and rehabilitation at Detroit Receiving Hospital and the owner of Gawenda Seminars. Gawenda has worked in all areas of therapy within the hospital and home health care setting. He has provided education and consulting to hospitals, rehabilitation agencies, private practices, and his peers in the areas of CPT and ICD-9 coding, billing, documentation, reimbursement, and the appears process for Medicare denied claims as they pertain to outpatient rehabilitation therapy services. He is the current President of the Michigan Association of Medical Program Rehabilitation Administrators, a member of the APTA, and the President of the Health Policy and Administration Section of the American Physical Therapy Association.
Register Online
Download Audio Conference flyer and Registration Form for mailing
Audio Conference CDs Available
Audio CDs are available for these previous audio conferences:
- Documentation
to Support Skilled Therapy Services: Understanding
Medicare & Other
Payers' Rules & Regulations
- Presented by
Rick Gawenda, PT and Angela Phillips, PT on April
3, 2007
2 Hours, 2 CDs
- Recent Medicare probe reviews focusing
on medical necessity documentation have resulted
in high levels of payment denials to therapy
providers. The Centers
for Medicare and Medicaid Services (CMS) has
made several revisions to the rules and regulations
pertaining to outpatient therapy services reimbursed
under Part B benefits. The changes include clearer
requirements for key elements of documentation
to support the medical necessity for skilled
therapy services. These
new requirements for documentation in Progress
Reports, Treatment Notes, and Discharge Reports,
that if not completed, may well result in a denial
of your claims.
- This practical course thoroughly
reviews Medicare Part B and other 3rd party
payer documentation requirements for reimbursement
of outpatient therapy services. Key
elements of initial evaluations, re-evaluations,
progress reports, daily notes, certifications/re-certifications,
plans of treatment, and physician referrals are
detailed. Emphasis will be placed on documentation
of medical necessity to support why the patient
requires skilled therapy services initially and
throughout the course of care. Extensive
references are provided so that therapists
can maintain current knowledge of the ever-changing
reimbursement guidelines and regulations.
- Prevention & Management
of Claims Denials
- Presented
by Rick Gawenda, PT and Angela Phillips, PT
on April 3, 2007
2 Hours, 2 CDs
This practical course will present a “no-nonsense” approach
to managing claims to avoid denials, respond
to Additional Development Requests (ADRs) and
appeal denied claims. Attendees will receive
practical solutions for dealing with the claims
and appeals process.
- Session Outline:
- Preventing Denials: Key strategies
to avoid review and denials and
documentation success strategies;
- Responding to ADRs: Timely
response, preparation of documents,
tabulation of data, record keeping;
- Denial Logs and Records: Strategies
for maintaining records, logging
activities, filing reconsideration
requests and timely appeals;
- The Five Levels of Appeal:
Levels of appeal and key functions
that must be completed for each;
- Appeals Letters: Key content
for reconsideration request and
appeal letter, format for the
letter, supporting data, use
of evidence;
- Cost/Benefit/Analysis: When
should you appeal? When not?
- Questions & Answers.
ORDER FORM -
Click here to open and download an order form for either
or both of the above audio CD sets.
|
 Combined Sections Meeting 2008
February 6-10, 2008
Nashville, TN
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