Coding and Billing for Medicare Part B Therapy Services

AUDIOCONFERENCE ON CD OR AUDIO ARCHIVE

Sponsored by Coding and Billing for Outpatient Rehab Made Easy: Proper use of CPT codes, ICD-9 codes, and Modifiers
presented on January 16, 2008

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 2008!
This 90-minute audioconference offers advice to avoid coding pitfalls and ensure your rehab facility's financial health. During Coding and Billing for Medicare Part B Therapy Services: Reduce denials and ensure proper reimbursement, expert Kate Brewer, PT, MBA, GCS, provides billing scenarios, the latest coding updates from CMS, and tips for the use of modifier-59. You'll also benefit from a list of the most commonly used CPT codes and an explanation of common billing mistakes.

At the conclusion of this program, participants will be able to:

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

TAKE A LOOK AT OUR AGENDA

1. Learn about the new CPT codes for 2008
2. Identify problems with service-based CPT codes
   1. Whirlpool (code 97022)
   2. Selective debridement (code 97597/97598)
   3. E-stim (code 97014/97032/G0281-G0283)
   4. Group therapy (code 97150)
3. Identify problems with time-based CPT codes
   1. Wheelchair management training (code 97542)
   2. Orthotic management and training (code 97760)
   3. Orthotic/prosthetic check out (code 97762) 29000 series on splinting
4. Understand Medicare's eight-minute rule and billing scenarios
   1. Can you bill for a timed procedure provided for less than 8 minutes?
5. Define group therapy in various settings
   1. Understanding Medicare's guidelines to appropriately bill group therapy under Medicare Part B
      1. Options for dividing up time
   2. Defining group vs. one-on-one therapy
6. Define, identify, and understand CCI edits: their applications to all settings
7. Document to support billing and use of modifier 59

MEET THE SPEAKER
Kate Brewer, PT, MBA, GCS, is the vice president of rehabilitation services for Greenfield Rehabilitation Agency, Inc. and the president/owner of Progressive Rehab Solutions providing practical consulting services to rehabilitation professionals. Kate has presented nationally on documentation, coding and rehabilitation management issues and is a recognized expert in long term care rehabilitation. She has served as the Nominating Chair for the APTA Section on Health Policy & Administration and is currently the Chapter Treasurer for the Wisconsin Physical Therapy Association. In addition, with HCPro, Inc., she has published The How-To Manual for Rehab Denials and Appeals: Navigating the Medicare Process and Restorative Nursing Made Easy and is on the editorial board for HCPro’s Briefings on Outpatient Rehabilitation Reimbursement and Regulations.

WHO SHOULD LISTEN?
Rehab directors, private practice owners, physical therapists, occupational therapists, and speech language pathologists and coders and billers

BONUS MATERIALS INCLUDED IN YOUR MATERIAL PACKET!
In addition to the expertise and information presented during this audioconference, you'll also receive these helpful “take-aways” provided within your materials pack:

1. List of CPT codes commonly used for physical, occupational, or speech therapy
2. List of CCI Edits for first quarter
   

These materials are provided with PDF links.

Purchase a CD or audio archive of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.

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