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Increasing Chances for Reimbursement - Defensible Documentation Part 2: Progress and Discharge Reports, Daily Notes, Certification/Re-certification (March 3, 2009)
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$149.00 |
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Member Price:
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$119.00
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^Item is non-taxable
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Item Description:
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 therapy services over the past 2-3 years. The changes include clearer requirements for key elements of documentation to support the medical necessity for skilled therapy services. These changes may well result in a denial of your claims.
This practical course thoroughly reviews Medicare and other 3rd party payer documentation requirements for Progress Reports, Daily Notes, and Discharge Reports. In addition, the course will explain the certification and recertification process for outpatient therapy services provided to Medicare beneficiaries.
Objectives
Upon completion of this course, attendees will:
- Differentiate between documenting medical necessity and supporting services rendered/billed
- Identify required content and time frame for completion of progress reports under Medicare
- Identify required content for daily documentation and discharge summaries
- Describe the certification and recertification requirements
- Determine the timeliness and validity of initial certifications and re-certifications.
Course Agenda
- Reasonable and necessary criteria for skilled therapy services
- Differentiate between covered and non-covered services
- Identify at least three criteria for skilled therapy services
- Necessary components of documentation to support skilled therapy services for reimbursement with Progress reports, Treatment and daily notes, Discharge reports
- Definitions and requirements for the certification/recertification process
Rick Gawenda, PT, Ypsilanti, Mich., 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 appeals 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 & Administration Section of the APTA. Rick is also on the editorial board for Briefings on Outpatient Rehab: Reimbursement and Regulations. He authored HCPro’s Coding and Billing for Outpatient Rehab Made Easy: Proper Use of CPT Codes, ICD-9 Codes, and Modifiers and The How-To Manual for Rehab Documentation.
Shipping/Tax Description:
Pricing includes shipping. Ships 1st class, typically within 72 hours.
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