AUDIOCONFERENCE ON TAPE OR CD
Sponsored by "Coding and Billing for Outpatient Rehab Made Easy"
presented on October 18, 2006
Payers are looking at documentation more thoroughly than ever.
Be sure you can prove medical necessity by using ICD-9 codes and CCI edits correctly.
Most therapists understand the importance of using CPT codes to receive accurate reimbursement. Failure to do the same with ICD-9 codes and CCI edits can be just as costly. Therapists must learn to distinguish between ICD-9 codes and CPT codes; medical diagnosis codes and treatment diagnosis codes; and mutually exclusive and column 1/column 2 edits—it's the only way to ensure full and timely reimbursement.
Listen to this 90-minute audioconference and learn how to use ICD-9 codes and CCI edits to meet your payers' demands. During Using ICD-9 Codes and CCI Edits in the Outpatient Rehab Setting, expert Rick Gawenda, PT, educates listeners about the most common ICD-9 codes, including how to locate them, how to use ICD-9 codes to support medical necessity, and how to determine when and where to attach modifier -59.
LEARNING OBJECTIVES
- Differentiate between an ICD-9 code and a CPT code
- Differentiate between a medical diagnosis and a treatment diagnosis
- Discuss and demonstrate ICD-9 coding guidelines
- Explain how ICD-9 codes support medical necessity by the various insurance payers
- Define and distinguish between mutually exclusive edits and column 1/column 2 edits
- Read the CCI edit chart and appropriately append modifier-59 to the correct CPT code(s)
- Document appropriately to support the treatments provided and the use of modifer-59
AGENDA
- Introduction to ICD-9 codes
- Identify the differences between diagnosis codes and procedure codes
- ICD-9 outpatient therapy coding guideline
- How to find the correct ICD-9 codes
- What is a medical diagnosis?
- What are treatments diagnoses?
- Three ways Medicare payers use ICD-9 codes to support medical necessity
- Payers who don’t use ICD-9 codes at all
- Payers who use codes to support all CPT codes
- Payers who use codes to support each CPT codes
- ICD-9 codes commonly used in outpatient rehab
- CCI Edits
- Definition
- Discipline specific
- Documentation to support the use of modifier -59
- Reading the CCI edit chart
- Column 1/Column 2/Mutually Exclusive
- Gawenda Seminar chart
- CMS Web site chart
- Examples
- PT reevaluation examples
- OT reevaluation samples
- SLP examples
- Q & A
ABOUT THE SPEAKER
Rick Gawenda, PT, is the director of physical medicine and rehabilitation at Detroit Receiving Hospital and the owner of Gawenda Seminars. Mr. Gawenda has worked in all areas of therapy within the hospital and home healthcare setting. He has provided valuable education and consulting to hospitals, rehabilitation agencies, private practices, and his peers in the areas of CPT and ICD-9 coding, billing, documentation, reimbursement as it pertains to outpatient therapy services, and the appeals process for Medicare denied claims. He is the current President of the Michigan Association of Medical Program Rehabilitation Administrators, member of the APTA, and actively involved in the Health Policy & Administration section of the APTA.
WHO SHOULD LISTEN:
Rehab directors, private practice owners, physical therapists, occupational therapists, speech language pathologists
BONUS TOOLS INCLUDED IN YOUR MATERIALS PACKET:
In addition to the expertise and advice presented during this audioconference, you'll also receive a slide presentation of the program materials and tools including:
- CCI edits chart that will show you which CPT code combinations need modifier -59
- Examples of Medicare contractors' ICD-9 policies
Program materials will be provided with PDF links.
Purchase a tape or CD of the program and listen when you can. It's a perfect training tool for new staff or as a refresher for veteran staff.
Save money when you purchase multiple copies! Ask your customer service representative about money-saving
discounts and bulk orders. Call toll free 800-650-6787 or e-mail
customerservice@hcpro.com.
