Outpatient Therapy Billing & Coding Made Easy

VYNE

Format(s):   Live Seminars
Discipline(s):   Physical Therapy / Occupational Therapy / Speech-Language
Contact Hours:
Registration Fee:   $199

Objectives

• Define service-based vs. time-based CPT codes
• Describe the rationale for the use of CPT and L codes in all outpatient settings
• Evaluate the new subsets of modifier 59 and describe when they are applicable
• Define Medicare's "8-Minute Rule" and what a substantial portion is for time-based CPT codes in order to bill to private insurance companies
• Apply ICD-10-CM coding concepts to PT, OT, and SLP pediatric, adult, and geriatric services
• Distinguish the ICD-10-CM coding differences between a traumatic injury and non-traumatic injury
• Define initial encounter, subsequent encounter, and sequela
• Explain when an external cause ICD-10-CM code should be reported on a claim form

Confirmation Notes

American Academy of Professional Coders - This program has the prior approval of the American Academy of Professional Coders (AAPC) for 6 continuing education hours. Granting of prior approval in no way constitutes endorsement by the AAPC of the program content or the program sponsor. AAPC approval good thru 6/30/2016. The American Occupational Therapy Association, Inc. - Cross Country Education is an AOTA Approved Provider of continuing education. This course is offered for .6 AOTA CEUs. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. AOTA Educational level Introductory, Category 3: Professional Issues. American Speech-Language Hearing Association - Cross Country Education, LLC is approved by the Continuing Education Board of the American Speech-Language-Hearing Association (ASHA) to provide continuing education activities in speech-language pathology and audiology. See course information for number of ASHA CEUs, instructional level and content area. ASHA CE Provider approval does not imply endorsement of course content, specific products or clinical procedures. This course is offered for .6 ASHA CEUs (Intermediate level; Related area). General Statement - This educational offering qualifies for 6 continuing education hours as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements. Maryland State Board of Physical Therapy Examiners - This program has been submitted to the Maryland Board of Physical Therapy Examiners for pre-approval of 0.6 continuing education hours. National Association of Long Term Care Administrator Boards - Cross Country Education is a Certified Sponsor of professional continuing education with the National Association of Long Term Care Administrator Boards (NAB) and has approved this program for the number of clock hours listed under their sponsor agreement with NAB/NCERS. State licensure boards, however, have final authority on the acceptance of individual courses. Professional Association of Health Care Office Management (PAHCOM) - Outpatient Therapy Billing and Coding Made Easy meets the criteria of the Professional Association of Health Care Office Management and is approved for 6 CEUs.

Description

An Essential Resource for ICD-10-CM Information, CPT Coding, Optimal Payment, & More!
Insurance companies, including Medicare, are increasingly reviewing therapy claims to ensure that therapy provided to the beneficiary was billed with the correct CPT codes (supported by documentation) and meets the insurance carrier's payment guidelines. While insurance carriers, specifically Medicare, continue to reduce payments, the cost of providing therapy continues to rise. Without a proper understanding of coding requirements, practices and organizations could end up leaving money on the table and increasing their risk for an audit.

This comprehensive course covers the correct application of CPT codes, L Codes for orthotics, modifier 59 and its new subsets (XE, XP, XS, and XU) as well as therapy-specific modifiers (GN, GO, GP) used by rehab professionals to secure proper payment in all outpatient settings. Attendees will discuss billing scenarios to ensure therapists and assistants can accurately charge patients for their services—not only for Medicare, but non-Medicare insurances as well. Lastly, the course will cover ICD-10-CM coding regulations, documentation requirements to support ICD-10-CM, and case scenarios for pediatrics, adults, and geriatrics in physical, occupational, and speech therapy services. Resources and references are provided to help you stay current with payment guidelines and regulations as they pertain to outpatient therapy services.

Date And Locations
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