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The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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Webinar Recording: Documentation Skilled Care: The Key to Avoiding Denials – Recorded March 10, 2021

Yearly Members: Access the Recording Here

Monthly and Non-Members: Purchase Here

Medicare and other payers only cover services that require the skills of a therapist. Documentation requirements focus on demonstrating that skills of a therapist are required and clear documentation of skilled care is the key to withstanding any chart audit. This course will focus on the following elements of skilled care documentation:

    • Why is it important to document that skills of a therapist are necessary?
    • What are Medicare’s specific requirements for documenting therapist skills?
    • Which other payers apply Medicare documentation rules?
    • How should you document skilled care in special situations like for maintenance therapy?
    • What “red flags” trigger denials?
    • What are examples of denied claims?
    • What are key words you can use to adequately document that skills of a therapist are necessary?

We will also be sharing and discussing examples of documenting skilled care for therapeutic exercise, manual therapy, neuromuscular reeducation and therapeutic activities.

CME CREDIT

PT: This webinar will quality for 1.0 hour of PT CME credit in AL, AR, AZ, CO, DE, GA, HI, IA, IL, IN, KS, KY, MD, MI, MN, NE, NH, NC, ND, NM, OR, PA, RI, SC, TN, TX, UT, VA, WA, WI, WY

OT: This webinar will quality for 1.0 hour of OT CME credit in AL, AR, AZ, CA, CO, CT, DC, GA, IA, IL, KS, KY, MN, MS, MO, NC, NE, NV, NH, ND, NM, OH, OR, PA, RI, SD, TN, TX, UT, VA, WA, WV, WI, WY

Cindy Murray, PT is the Executive Vice-President/Chief Operating Officer for OrthoTexas Physicians and Surgeons in the North Texas area. The group is comprised of over 160 employees, 15 orthopedic and pain management physicians and surgeons, and Physical and Occupational Therapy. Cindy practiced as a licensed physical therapist in Texas from 1992 to 2018 until she exited the clinic to focus solely on her administrative roles.  During her entire career, Cindy has specialized in both the clinical and regulatory aspects of outpatient orthopaedics.  Currently, she oversees a rehab staff of 47 employees at 6 locations, and is responsible for all operational aspects including chart reviews and coding and documentation training for all PT/OT providers and directors. Cindy has taught courses for the Texas Medical Association, Texas Orthopedic Association, and has also presented to the American Youth Soccer Organization (AYSO). In addition, she authored the “Workers Compensation Guide for Texas Physicians, 4th edition” for the Texas Medical Association.   Cindy graduated from Texas A&M University with a BS in Health Education, received her BS in Physical Therapy in 1992 from the University of Texas Medical Branch in Galveston, and her MBA with a concentration in Health Care Administration from Texas A&M University in 2020.    

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Therapy Comply is a healthcare compliance firm that seeks to bring high quality web-based compliance guidance and one-on-one consulting services to small and medium size physical, occupational, and speech therapy practices.

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