Course Description:
Physical and occupational therapy services for pediatrics, adults, and geriatrics continue to be on the medical record review radar for Medicaid, Medicare, and private insurance carriers medial review entities for documentation, CPT coding, and billing issues. This seminar applies to therapists and assistants who treat pediatrics, adults, and geriatrics in all outpatient therapy settings. This seminar will teach participants the necessary components of documentation for the initial evaluation, reevaluation, progress reports, daily notes, discharge reports and the Medicare Part B certification and recertification process that will help participants document the key points in supporting medical necessity and the skilled nature of outpatient therapy services not only for insurance carriers, but for their respective state practice act.
Course Objectives:
* Describe and implement the necessary components of an initial evaluation to support the need for skilled therapy services
* Identify when a reevaluation is appropriate to perform on a patient and bill to an insurance carrier
* List the required and necessary components of a progress report to support the therapy already provided and the need for continued skilled therapy services
* Apply strategies to more effectively support medical necessity and skilled services in your daily notes
* Describe and implement the necessary components of a discharge report to demonstrate the nature of skilled services provided to support why you should be paid for those services
* Understand the certification and recertification process for Medicare Part B therapy services
Course Schedule:
9:00-10:45 a.m. -- Documentation requirements for evaluations and re- evaluations
10:45-11:00 a.m. -- Documentation requirements for progress reports
11:00-11:15 a.m. -- BREAK11:15-12:00 p.m. -- Documentation requirements for daily notes and discharge reports
12:00-12:15 p.m. -- Medicare Part B certification and recertification
12:15-12:30 p.m. -- Questions
12:30 p.m. -- Conclusion
Speaker Bio:
Rick Gawenda, PT, is a licensed physical therapist with over 30 years of experience and currently serves as the founder and President of Gawenda Seminars and Consulting, Inc. He graduated with a Bachelor of Science degree in Physical Therapy from Wayne State University i Detroit, Michigan, in 1991. Mr. Gawenda previously worked as the Director of Physical medicine and Rehabilitation at Detroit Receiving Hospital where he was responsible for physical therapy, occupational therapy, and speech-language pathology services, both in the inpatient and outpatient settings. He has provided valuable education and consulting to hospitals, private practices, skilled nursing facilities, and rehabilitation agencies in the areas of CPT coding, ICD-10 coding, billing, documentation compliance, revenue enhancement, practice management, and denial management as they relate to outpatient therapy services. Mr. Gawenda has presented nationally since 2004 and currently presents approximately 100 date per year around the United States. Mr. Gawenda is a member of the American Physical Therapy Association (APTA) and Michigan Physical Therapy Association (MPTA). Mr. Gawenda is the Past President of the Section on Health Policy and Administration of the APTA as well as Past President of the Michigan Association of Medical Rehabilitation Program Administrators. Mr. Gawenda is also the author of "The How-To Manual for Rehab Documentation: A Complete Guide to Increasing Reimbursement and Reducing Denials" and "Coding and Billing for Outpatient Rehab Made Easy: Proper Uses of CPT Codes, ICD-9 Codes and Modifiers."
Course is worth 3.5 contact hours. A TEAMS link will be sent to registered participants no later than Friday, January 10, 2025. Registration for this event will close at 12:00 noon CST on Thursday, January 9, 2025
