Coding and Billing for Rehab Services under Medicare Part B (Audio Conference)

AUDIOCONFERENCE ON TAPE OR CD

Sponsored by “Coding and Billing for Outpatient Rehab Made Easy ”

presented on January 18, 2007

It's simple: Correct coding means proper reimbursement for the services you provide.

With therapy caps and skimpy Physician Fee Schedule rates, outpatient therapy providers can't afford to leave money on the table. Successfully code the therapy services you provide so you can bill appropriately and get the reimbursement you're entitled to.

An inexpensive and easy way to prepare your entire staff for rehab coding and billing in 2007!

Listen to this 90-minute audioconference and learn how to avoid coding pitfalls and ensure your rehab facility's financial health. During Coding and Billing for Rehab Services Under Medicare Part B: Correct Use of CPT Codes to Ensure Earned Reimbursement,experts Rick Gawenda, PT, and Kate Brewer, PT, MBA, GCS, will provide billing scenarios, the latest coding updates from CMS, and a break down of the eight-minute rule. You'll also benefit from a list of the most commonly used CPT codes and an explanation of common billing mistakes.

AGENDA

1. Identify problems with service-based CPT codes
• Whirlpool (code 97022)
• Selective debridement (code 97597/97598)
• E-stim (code 97014/97032/G0281-G0283)
• Group therapy (code 97150)
2. Identify problems with time-based CPT codes
• Wheelchair management training (code 97542)
• Orthotic management and training (code 97760)
• Orthotic/prosthetic check out (code 97762)
• 29000 series on splinting
3. Understand Medicare's eight-minute rule and billing scenarios
• Can you bill for a timed procedure provided for less than 8 minutes?
4. Define group therapy in various settings
• Understanding Medicare's guidelines to appropriately bill group therapy under Medicare Part B
1. Options for dividing up time
• Defining group vs. one-on-one therapy
5. Define, identify, and understand CCI edits: their applications to all settings

6. Document to support billing and use of modifier 59
   
   A 30-minute Q&A follows the presentation.

Learning Objectives:

1.  Identify problem CPT codes and the rationale when to use each
2.  Differentiate and define between one-on-one therapy and group therapy
3.  Define and distinguish between mutually exclusive edits and column 1/column 2 edits
4.   Read the CCI edit chart and appropriately append modifier-59 to the correct CPT code(s)
5.  Document appropriately to support the treatments provided and the use of modifier-59
6.  Use Medicare's "8 minute rule" and charge correctly for the services you provide under outpatient therapy benefits

ABOUT THE SPEAKERS

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, 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, member of the APTA, and the incoming President of the Health Policy & Administration section of the APTA. Rick is also on the editorial board for Briefings on Outpatient Rehabilitation Reimbursement and Regulations. He authored HCPro’sCoding 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.

Kate Brewer, PT, MBA, GCS, is the vice president of rehabilitation services for Greenfield Rehabilitation Agency, Inc. Brewer has presented nationally on documentation, coding, and rehabilitation management issues and is a recognized expert in long-term care rehabilitation. She is the Nominating Chair for the APTA Section on Health Policy & Administration and the Chapter Treasurer for the Wisconsin Physical Therapy Association. She authored HCPro's The How-To Manual for Rehab Denials and Appeals: Navigating the Medicare Process and is on the editorial board for Briefings on Outpatient Rehabilitation Reimbursement and Regulations.

WHO SHOULD LISTEN:

Rehab directors, private practice owners, physical therapists, occupational therapists, and speech language pathologists, billers, and coders

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 rehab billing and coding tools. Program materials are 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.

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