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Sherry Marchand - 2018 Coding and Billing for Therapy and Rehab

Sherry Marchand – 2018 Coding and Billing for Therapy and Rehab

Original price was: $219.99.Current price is: $36.90.

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Description

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Faculty:
Sherry Marchand, CPMA
Duration:
5 Hours 37 Minutes
Format:
Audio and Video
Copyright:
Jan 29, 2018

Description

Outline

CPT/HCPCS PROCEDURE CODES and COMPLIANCE WITH DOCUMENTATION STANDARDS

  • Provides credentialing resources
  • Explore the Revenue Cycle
  • Evaluations and Re-Evaluations for Physical Therapy, Occupational Therapy and Speech Services. (Includes tools for changes in criteria.)
  • Orders
  • Plan of Care, Certification/Re-certification Rules Checklist
  • CPT Procedure codes used in Therapy and Rehab
    • Evaluations, re-evaluations, and assessments
    • Supervised modalities
    • Guidelines for billing therapy minutes
    • Constant attendance modalities
    • Therapeutic procedures, included changes in orthotic and prosthetic management and training and development of cognitive skills
    • Speech Pathology Services
    • Neuromuscular procedures
    • Debridement, application of strapping, splints, casts
    • Using HCPCS Level II codes for DME
    • Orthotics billed by hospitals and other providers
    • Lymphedema Service
    • Woundcare
    • Physical Performance Testing
  • Daily Session Note Checklist
  • Discharge Checklist
  • NCCI Edits
  • Modifiers
  • HCPCS II Procedure codes used in Therapy and Rehab
  • Functional Limitation Requirements G-codes for functional limitations and severity modifiers – required for outpatient claims filed to Medicare
  • Place of Service Codes

DIAGNOSTIC CODING

  • New tools to prepare for ICD-10-CM – Bring your WI-FI enabled device
  • Discuss chapters that effect Therapy and Rehab
  • Laterality documentation requirements

FEDERAL REGULATIONS MEDICARE’S BILLING RULES and Special Payer News

  • Medicare Therapy Cap
  • Documentation to meet Medical Necessity in Therapy and Rehab
  • Understand changes with congressional changes and their impact on Therapy and Rehab
  • Understanding Value-Based Payment issues: (i.e. MACRA, MIPS and APM)
  • Explore resources pertaining to CMS MAC, RAC, ZIP, and CERT program guidelines
  • OIG audit focus on behavioral health services
  • Medicare’s “incident to” guidelines, definition of “incident to” services vs payer supervision
  • Overview of Commercial Plans and Therapy Coverage
  • Common forms of health care fraud and abuse

COMPLIANCE

  • Components of an effective compliance plan
  • Understanding recent reports from CMS MAC, RAC, OIG, and GAO to reduce error rates in documentation

UNDERSTANDING THE REIMBURSEMENT PROCESS

  • Understanding the claim content 837p and 837i resources
  • Explore common revenue codes used with the 837i claims formats
  • Learn about the Medicare Learning Network

THE APPEAL PROCESS

  • Understanding reasons for denials
  • Systematic steps of responding to an appeal
  • Formats for appeal letters

Faculty

Sherry Marchand CPMA Related seminars and products: 2

SHERRY MARCHAND, CPMA, is a reimbursement analyst and a billing, collection, and chart-auditing consultant with more than 25 years of experience in the health care industry, including hospital and physician group billing, and collection management. She has served as an expert witness/consultant in Medicare, Medicaid, ALJ hearings, and criminal fraud cases. Her vast knowledge of the practice management process has come from working in various levels of health care accounting, including the management of international hospital billing. As a certified, self-employed practice management consultant and chart auditor, Ms. Marchand has helped numerous medical offices take control of their cash flow through implementation of billing and documentation processes. Her specialties include Internal Medicine, Obstetrics, Mental Health, Physical Therapy, Cardiology, ENT, and Surgical Specialties. Ms. Marchand is skilled in installation training and implementation of hardware and software systems that are right for the health care arena. Ms. Marchand has many tips and tools to assist your office on the road to healthy patients and insurance collections.

Speaker Disclosures:

Financial: Sherry Marchand is the owner of Advanced Physician Services. She receives a speaking honorarium from PESI, Inc.

Non-financial: Sherry Marchand is a member of the American Academy of Professional Coders.

Salepage: https://catalog.pesi.com//item/coding-billing-therapy-rehab-34301
Archive: https://archive.ph/ZK1YQ

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