2012 Locations
July 28 – Greater San Francisco Area, CA
August 24 – Soldotna, AK
Denali Conference Room, Central Peninsular Hospital
250 Hospital Place
Soldotna, AK 99669-7559
September 15 – Houston, TX
Location to be determined
September 22 – Greater Chicago Area, IL
Location to be determined
October 27 – Greater Philly, PA
Location to be determined
Program Highlights
1. RACs, MACs, and AUDITS: TOP 10 REASONS s for DENIALS and how to FIX them.
2. MEDICAL NECESSITY: REAL Medicare RULES and where to FIND them.
3. WRITE RIGHT: Documentation that meets Medicare Guidelines
4. IT’S EXCEPTIONAL!: Use of the ABN, exception process and KX Modifier.
Registration
See the Brochure Anatomy of Documentation for details
Register by phone, fax, mail or use the this link to Register Online
Agenda
SURVIVING A MEDICAL REVIEW: MACs, RACs, ZPICs and CERTs!
TOP 10 REASONS FOR DENIAL: What they are and how to fix them
MEDICAL NECESSITY: Providing necessary and reasonable rehab services
WRITE RIGHT: Documentation that meets Medicare guidelines: Evaluations
WRITE RIGHT: Documentation that meets Medicare guidelines: Plan of Care, Daily notes, CPT codes and units
WRITE RIGHT: Documentation that meets Medicare guidelines: Progress and Discharge Reports & Re-evaluation
IT’S EXCEPTIONAL: Use of the ABN and the KX modifier
2013 AND BEYOND: What CMS has in store
Questions and Answers:
Overview
This interactive course is designed to provide participants with everything they need to know about documenting therapy services provided to Medicare beneficiaries under outpatient Part B and surviving a Medical Review.
Topics include: understanding of the medical review process and how to implement survival strategies; medical necessity of Medicare services; understanding “skilled” care; individual vs. concurrent vs. group care and documenting services to assure reimbursement.
Case studies will be utilized to provide the participant with a fuller understanding of the regulations and their impact on reimbursement.
Attendees are able use their own documentation systems and case study to assist in the understanding of appropriate Medicare documentation. Time will be spent for participants to determine the “outcome” of their own medical review and identify the changes that must be made within their own practice setting in order to become compliant with Medicare rules while ensuring the maximum legal reimbursement for the therapy services they provide.
All information provided will be specifically annotated to Medicare regulations.
CONTINUING EDUCATION ACCREDITATION:
In states requiring approval for CEUs, this course provides 7.5 (60 minute) actual contact hours
Occupational Therapy
Florida: Florida Occupational Therapy Association approved: Course number 20-399398 for 9 CEUs
Physical Therapy
California: Encompass Consulting is a recognized Approval Agency for the Physical Therapy Board of California and this course is approved for 7.5 Continuing Competency Hours
Florida: Florida Physical Therapy Association course approval number D120318613 for 9 CE Hours: Illinois: Department of Professional Regulation: CE provider #216-000139: 9 CEUs
Approval will be obtained for the other States in which the seminar is presented.
Speech-Language Pathology
Florida Board of Speech-Language Pathology and Audiology: CE provider # 50-4853: Course number 20-268707: 7.5 CEUs
This program is appropriate for 7.5 CEUs ( Non-Clinical)
Hi..Just wondering if you have set dates or locations for the 2012 seminars? I’m very interested in the Anatomy of Documentation and Tests, Measures, and Questionnaires. Would it be beneficial for our biller to attend as well?
Thank You
Hi Megan, We are starting in Tampa, FL and are workihng on our other locations and dates. We will post them as soon as we finalize our schedule.
What constitutes a SNF Mediare week? I keep getting asked if there is a “Medicare week” for therapy. Some people have said if a patient comes in on Tuesday, and the frequency is 5 x a week I can treat them Tuesday through Friday then start the “Medicare week” and see them any 5 times Sunday through Saturday. I thought that if they come in on Tuesday, I need to see them five times between each Tuesday and the following Monday. What is the right way? Sunday to Monday for everyone, or each patient is different based on the day they were evaulated?
Is this different with Part B and Home Health?
Hi Lynn,
Thank you for your question. I have answered it as a Medicare Mentor question. THe answer is in a pdf file as I included some table in there. Hope it clears up your confusion.
Pauline