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Trent Brown - Documentation Success in 5 Minutes or Less: The Platforms to Demonstrate Medical Necessity, Maximize Reimbursement & Eliminate Paybacks

Trent Brown – Documentation Success in 5 Minutes or Less: The Platforms to Demonstrate Medical Necessity, Maximize Reimbursement & Eliminate Paybacks

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Faculty:
Trent Brown
Duration:
6 Hours 5 Minutes
Format:
Audio and Video
Copyright:
Nov 08, 2019

Description

Outline

THE INS AND OUTS OF DOCUMENTATION & RECOVERY AUDITS CONTRACTOR (RAC)

  • Why reviews happen
  • Who reviews your paperwork
  • Identify red flags
    • What to look for in billing
    • What’s trending
    • Similarities and differences of:
      • OP-Medicare B
      • Inpatient
      • Medicare A
      • HH
      • And more

THREE KEY AREAS TO REMEMBER TO AVOID DENIALS

  • Qualified clinician
  • Skilled level of care
  • Medical necessity

INTERACTIVE CASE STUDIES FOR AVOIDING DENIALS

  • Case #1: CHF exacerbation
  • Case #2: fall with pain
  • Case #3: ROM
  • Case #4: incontinence management

EVERYTHING YOU NEED TO KNOW ABOUT THE APPEAL PROCESS

  • What to do when additional documentation request (ADR) occurs
    • Sample ADR
    • The appeals process and timelines
    • RAC, MAC, QIC, ALJ, Council, Judicial Review

5 PLATFORMS OF SUCCESSFUL DOCUMENTATION

  • The 5-platforms for faster yet more efficient reporting
  • Reduce unnecessary or over-documentation
  • Tips and tricks to remember

INTERACTIVE CASE STUDIES OF SUCCESSFUL DOCUMENTATION

  • Case #1: Joint mobilization
  • Case #2: gait/mobility therapy exercise
  • Case #3: transfer training
  • Case #4: class discussion of real-life examples

CODE OF ETHICS – HOW DOCUMENTATION RELATES

  • Purpose of the code (law vs. ethic)
    • How the right documentation is the right thing to do
    • How the code protects you, your patients, and your profession
  • Define each principle
    • Standards of conduct for each principle
    • Actual ethical examples of each principle
    • Case studies
  • Case studies of ethical practices

STEPS FOR REPORTING

  • Compliance
  • License
  • Ethics
  • Corporate reporting vs. individual reporting

Faculty

Trent Brown, MOT, OTR/L, ATP, BCG's Profile

Trent Brown, MOT, OTR/L, ATP, BCG Related seminars and products: 14

Advanced Healthcare

TRENT BROWN, MOT, OTR/L, ATP, BCG, is a practicing therapist in Utah and is one of 36 credential holders of a board certification in gerontology (BCG) from the AOTA. Mr. Brown also holds a certification as an assistive technology professional (ATP) from RESNA. He completed his undergraduate and graduate work at the University of Utah where he is also an adjunct professor. He is employed by the Department of Health (UDOH) to develop, implement, and operate healthcare quality improvement programs and has authored multiple laws to legislate improved patient care. Mr. Brown also reviews clinical documentation for UDOH as an expert witness in reviewing cases. Mr. Brown has over 15 years of clinical experience in skilled nursing, transitional care, acute, and home health. Recently, he served as the VP for the UOTA where he co-authored SB 131 advancing OT practice in the state of Utah and has received multiple awards for his clinical, academic, and legislative work. Through his expertise in advocating for therapy services authoring law and rule he has evolved into an expert presenter on ethical and legal issues facing therapy. Mr. Brown has provided courses for thousands of clinicians throughout the country in conferences, private settings, and specialty conferences. Mr. Brown is a master clinician and lecturer on a myriad of topics including joint arthroplasty, core strengthening, documentation, aging, functional mobility, ethics, and fall reduction. He has also been a keynote speaker at multiple events throughout the country.

Speaker Disclosures:

Financial: Trent Brown is an adjunct professor at the University of Utah. He receives a speaking honorarium from PESI, Inc.

Non-financial: Trent Brown is a credential holder of a board certification in gerontology (BCG) from the AOTA.

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