Prove Medical Necessity Through your Outpatient Therapy Documentation

AUDIOCONFERENCE ON CD OR AUDIO ARCHIVE

Sponsored by Pocket Guide to Therapy Documentation

presented on March 11, 2008

Prove medical necessity with organized and concise documentation

As a therapist your documentation needs to be crystal clear in order to prove that your services were medically necessary. If you can't provide sufficient proof, you’re at risk for a denial and you will lose reimbursement dollars. The key to establishing the necessity of care is knowing what vital questions you must answer.

Meet or beat audit standards by getting inside an auditor’s mind

During this 90-minute audioconference Prove Medical Necessity Through Your  Outpatient Therapy Documentation: Internal strategies to beat audit standards, expert Lynn Steffes, provides strategies you can put to use right away to strengthen your documentation and achieve proper reimbursement. She offers practical solutions for compliant documentation and billing, plus tips on how to be your own auditor.

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

1. Implement procedures that enable staff to accurately document and bill at point of service
2. Identify and create the ‘client story’ that ensures coverage
3. Organize information to focus auditors on optimal coverage
4. Use correct codes to create an effective cross-walk to billing
5. Construct your own internal audit team

TAKE A LOOK AT OUR AGENDA

1. Understand the payer perspective: Know the audience
1. What are payers looking for?
2. Scenario
2. Reframe documentation and billing as components of patient management
1. Change the culture
1. Documentation is currently an administration function
2. Make documentation part of patient care
3. Answer the big question: Medical necessity
1. Create context
1. Why are we here?
2. Why is the patient here?
4. Feed the auditors: Capture and organize information in every element of documentation to meet or beat their standards
1. Give important context
2. Document concisely
3. Organize & create cues for the auditors to find the “right” stuff!
5. Build internal peer review and mock audits to prevent and overturn denials
1. Coach staff
2. Make processes available to avoid denials
6. Q&A

BONUS TOOLS INCLUDED IN YOUR MATERIALS PACKET!

In addition to the expertise and advice presented during this audioconference, you'll also receive a helpful “take-away” provided within your materials pack:

• Internal chart audit checklist

The materials are provided with PDF links.

MEET THE SPEAKER

Lynn Steffes, PT, is president/consultant of Steffes & Associates, a rehabilitation consulting service based in Wisconsin. She provides consulting services to rehab providers nationwide. She has enabled providers to achieve optimum success in the delivery of high-quality, cost-effective care to their patient/clients by offering assistance with, marketing and program development, negotiating managed care contracts and payer relations, training and staff development in the referral and payer relations process, optimal reimbursement and documentation strategies, and lobbying and advocacy for therapy services.

WHO SHOULD LISTEN?

Physical therapist, occupational therapist, speech-language pathologist, rehab administrators, billing staff

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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